ARCHITECT TOTAL B-HCG REAGENTS
Report
- Report Number
- 3005094123-2014-00012
- Event Type
- Death
- Date Received
- May 8, 2014
- Date of Event
- August 31, 2013
- Report Date
- April 11, 2014
- Manufacturer
- A.I.D.D LONGFORD
- Product Code
- DHA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
(B)(4). A REVIEW WAS COMPLETED ON ALL COMPLAINTS ASSOCIATED WITH ARCHITECT TOTAL B-HCG (LN 7K78) AND ARCHITECT TOTAL B-HCG REAGENT LOT 26903UI00. NO ATYPICAL COMPLAINT ACTIVITY OR ADVERSE TRENDS FOR THIS PRODUCT WAS IDENTIFIED. LOT 26903UI00 WAS USED TO TEST UK NEQAS PROFICIENCY SAMPLES. A REVIEW OF THIS TESTING CONCLUDED THAT THE ASSAY ACCURATELY RECOVERED DIFFERENT LEVELS OF ANALYTE IN EXTERNAL QUALITY SAMPLES THUS CONCLUDING THE ASSAY PERFORMS ACCEPTABLY. NO TESTING OF A RETAINED KIT COULD BE PERFORMED AS THE MATERIAL WAS EXPIRED. LABELING WAS REVIEWED AND FOUND TO BE ADEQUATE. THE PRODUCT WAS NOT AVAILABLE FOR RETURN. BASED ON THE AVAILABLE INFORMATION, NO PRODUCT DEFICIENCY WAS IDENTIFIED.
ON (B)(6) 2014, THE CUSTOMER REPORTED A CASE OF A FALSE NEGATIVE ARCHITECT TOTAL B-HCG RESULT OF LESS THAN 1.20 MIU/ML OBTAINED (B)(6) 2013 FOR ONE (B)(6) FEMALE PATIENT. THE PATIENT PRESENTED TO THE HOSPITAL ON (B)(6) 2013 WITH CHEST PAINS AND PAINFUL BREATHING. TESTING REVEALED CRITICALLY LOW PLATELET COUNTS AND THE PATIENT WAS DIAGNOSED WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA (ITP). SEVERAL TESTS WERE PERFORMED OVER THE FOLLOWING 7 DAYS, INCLUDING B-HCG TESTING. NO ADDITIONAL PREGNANCY DIAGNOSTICS WERE RUN AT THE HOSPITAL. THE PATIENT WAS THEN SENT TO (B)(6) WHERE A CASSETTE PREGNANCY TEST WAS PERFORMED WITH A NEGATIVE RESULT. THE PATIENT SUBSEQUENTLY DIED (B)(6) 2013, AND THE CUSTOMER COMMUNICATED THAT THE CAUSE OF DEATH WAS A RUPTURED ECTOPIC PREGNANCY. NO AUTOPSY REPORT WAS PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 279320 | ARCHITECT TOTAL B-HCG REAGENTS | B-HCG | DHA | A.I.D.D LONGFORD | 26903UI00 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 33 YR | Death | ARCHITECT I2000SR ANALYZER| LN 03M74-01 SN (B)(4) |