FDA Adverse Event Malfunction Summary report: N

ARCHITECT STAT TROPONIN-I

MDR report key: 3894051 · Received June 25, 2014

Report

Report Number
1415939-2014-00135
Event Type
Malfunction
Date Received
June 25, 2014
Report Date
June 2, 2014
Manufacturer
ABBOTT LABORATORIES
Product Code
MMI
PMA / PMN Number
K041192
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PRODUCT SIZE CODE WAS CHANGED. REVIEW OF TICKET TRENDING DID NOT IDENTIFY AN INCREASE IN COMPLAINT ACTIVITY RELATED TO THE COMPLAINT ISSUE. ACCURACY TESTING WAS COMPLETED USING RETAINED KITS OF REAGENT LOT 60820UN14. ACCEPTANCE CRITERIA WAS MET WHICH INDICATES ACCEPTABLE PRODUCT PERFORMANCE. A DEFICIENCY WAS NOT IDENTIFIED AS PANEL TESTING SHOWS THAT THE LIKELY CAUSE LOT PERFORMS PER SPECIFICATION. THERE IS NOT ENOUGH INFORMATION TO REASONABLY SUGGEST A MALFUNCTION SINCE THE ISSUE INVOLVES A DISCREET SAMPLE. RETEST OF THE ORIGINAL SAMPLE ON THE ORIGINAL INSTRUMENT AS WELL AS ANOTHER ARCHITECT GENERATED NEGATIVE RESULTS. PER THE COMPLAINT TEXT THE FIELD SERVICE REPRESENTATIVE OBSERVED THE SAMPLE WAS HEMOLYZED, WHICH LEADS TO THE POSSIBILITY THAT SAMPLE INTEGRITY MAY HAVE CONTRIBUTED TO THE ELEVATED RESULT. ADDITIONALLY, THE SPECIMEN COLLECTION AND PREPARATION FOR ANALYSIS SECTION OF THE ARCHITECT STAT TROPONIN-I PACKAGE INSERT PROVIDES EXAMPLES OF SITUATIONS THAT MAY CAUSE ERRONEOUS RESULTS.

Additional Manufacturer Narrative · 1

(B)(4). AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Description of Event or Problem · 1

THE CUSTOMER STATED THAT THE ARCHITECT ANALYZER GENERATED A FALSELY ELEVATED TROPONIN RESULT ON ONE PATIENT SAMPLE. THE RESULTS PROVIDED WERE: INITIAL 0.094 / 0.012NG/ML. THE SAMPLE WAS ASSAYED ON ANOTHER ARCHITECT AND GENERATED RESULTS OF 0.009 / 0.000 / 0.006 / 0.000NG/ML. THE CUSTOMER'S DIAGNOSTIC CUTOFF FOR TROPONIN IS 0.090 NG/ML. THERE WAS NO ADDITIONAL PATIENT INFORMATION PROVIDED. THERE WAS NO REPORTED ADVERSE IMPACT TO PATIENT MANAGEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
371930 ARCHITECT STAT TROPONIN-I TROPONIN-I MMI ABBOTT LABORATORIES 60820UN14

Patients

Seq Age Sex Outcome Treatment
1 ARCHITECT I2000SR ANALYZER, LIST # 03M74-02,| ARCHITECT I2000SR ANALYZER, LIST # 03M74-02,| SERIAL # (B)(4)| SERIAL # (B)(4)