FDA Adverse Event Malfunction Summary report: N

CELL-DYN EMERALD

MDR report key: 3936201 · Received July 15, 2014

Report

Report Number
2919069-2014-00039
Event Type
Malfunction
Date Received
July 15, 2014
Date of Event
June 25, 2014
Report Date
June 25, 2014
Manufacturer
ABBOTT DIAGNOSTICS DIVISION
Product Code
GKZ
PMA / PMN Number
K081495
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

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

Additional Manufacturer Narrative · 1

FURTHER INVESTIGATION OF THE CUSTOMER ISSUE INCLUDED A REVIEW OF THE COMPLAINT TEXT, A SEARCH FOR SIMILAR COMPLAINTS, A REVIEW OF LABELING AND INSTRUMENT SERVICE. NO ADVERSE TREND WAS IDENTIFIED FOR THE CUSTOMER'S ISSUE. LABELING WAS REVIEWED AND FOUND TO BE ADEQUATE. REPLACING THE WORN OUT AND LOOSE PARTS (TUBING, SAMPLE PROBE, AND O-RING), AND PERFORMING OVERDUE SERVICE PREVENTIVE MAINTENANCE RESOLVED THE ISSUE. BASED ON THE AVAILABLE INFORMATION, NO PRODUCT DEFICIENCY WAS IDENTIFIED.

Description of Event or Problem · 1

THE CUSTOMER OBSERVED FALSELY ELEVATED PLATELET RESULTS FOR FOUR PATIENTS ON THE CELL-DYN EMERALD ANALYZER. THE FOLLOWING DATA WAS PROVIDED: PATIENT 1 INITIAL 47, REPEAT 3 K/UL; PATIENT 2 INITIAL 39, REPEAT 2 K/UL; PATIENT 5 (SID (B)(6)) INITIAL 33, REPEAT 10 K/UL; PATIENT 6 INITIAL 29, REPEAT 3 K/UL; THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
411846 CELL-DYN EMERALD AUTOMATED HEMATOLOGY ANALYZER GKZ ABBOTT DIAGNOSTICS DIVISION

Patients

Seq Age Sex Outcome Treatment
1