FDA Adverse Event Malfunction Summary report: N

ARCHITECT C8000 SYSTEM

MDR report key: 4093995 · Received September 16, 2014

Report

Report Number
1628664-2014-00204
Event Type
Malfunction
Date Received
September 16, 2014
Date of Event
August 27, 2014
Report Date
August 27, 2014
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
JJE
PMA / PMN Number
K980367
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PATIENT IDENTIFIER DID NOT CONTAIN ENOUGH SPACES FOR ENTIRE PATIENT ID. THE ENTIRE PATIENT ID IS (B)(6). (B)(4). A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. EVALUATION IS IN PROCESS.

Additional Manufacturer Narrative · 1

THE FIELD SERVICE REPRESENTATIVE CLEANED THE CUVETTE WASHER AND MANUALLY CLEANED CUVETTES ON THE ARCHITECT C8000 ANALYZER FOR RESOLUTION. NO ADDITIONAL DISCREPANT MAGNESIUM RESULTS WERE REPORTED AFTER THE FIELD SERVICE REPRESENTATIVE VISIT. THE CUVETTE SEGMENTS AND THE CUVETTE WASHER WHICH ARE STILL FUNCTIONAL AT THE CUSTOMER SITE AND ARE NOT AVAILABLE FOR RETURN. A REVIEW OF HISTORICAL DATA REVEALED NO SYSTEMIC ISSUES OR ADVERSE TRENDS ASSOCIATED WITH THE ISSUE DESCRIBED IN THIS COMPLAINT. THE ARCHITECT LABELING PROVIDES ADEQUATE INFORMATION FOR TROUBLESHOOTING THE ISSUE. NO DEFICIENCY OR MALFUNCTION WAS IDENTIFIED.

Description of Event or Problem · 1

THE ACCOUNT GENERATED A FALSELY ELEVATED MAGNESIUM OF 7.5 MG/DL PROCESSED ON THE ARCHITECT C8000 ANALYZER. THE SAMPLE WAS REPEATED WITH MAGNESIUM OF 2.3 MG/DL ON THE SAME ANALYZER AND 2.3 MG/DL ON ANOTHER ARCHITECT C8000 ANALYZER. THE PREVIOUS DAY, THE PATIENT TESTED MAGNESIUM OF 2.3 MG/DL. NO SPECIFIC PATIENT INFORMATION WAS PROVIDED. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
571174 ARCHITECT C8000 SYSTEM AUTOMATED CHEMISTRY ANALYZER JJE ABBOTT MANUFACTURING INC

Patients

Seq Age Sex Outcome Treatment
1 LOT 26125UN14| MAGNESIUM LIST 07D70-31