FDA Adverse Event Malfunction Summary report: N

ARCHITECT ANTI-HBC II

MDR report key: 4132438 · Received October 1, 2014

Report

Report Number
3002809144-2014-00180
Event Type
Malfunction
Date Received
October 1, 2014
Date of Event
September 5, 2014
Report Date
September 9, 2014
Manufacturer
ABBOTT GERMANY
Product Code
LOM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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

Additional Manufacturer Narrative · 1

THE CUSTOMER OBSERVED (B)(6) PATIENT SAMPLES WHEREAS VIDAS WAS (B)(6) OR INDETERMINATE. A (B)(6), LOT NUMBER 40408LI00 WAS TESTED IN A CLINICAL (B)(6) SET UP, INCLUDING ONE COMMERCIALLY AVAILABLE SEROCONVERSION PANEL (BIOMEX SEROCONVERSION PANEL (B)(4)). RESULTS OF THIS SETUP DID NOT IMPLICATE THAT THE (B)(6) PERFORMANCE OF THE LOT IS (B)(6) IMPACTED. THE SEROCONVERSION PANEL WAS COMPARED WITH HISTORICAL DATA FROM (B)(6) LOT NUMBER 21153LI00. THE REAGENT DETECTED THE SAME BLEEDS AS (B)(6). ADDITIONALLY, A REVIEW OF NON-CONFORMANCES AND DEVIATIONS ASSOCIATED WITH THE AFFECTED (B)(6) LOT WAS PERFORMED. THIS REVIEW DID NOT REVEAL ANY EVENTS OR ISSUES THAT MAY HAVE IMPACTED THE PERFORMANCE OF THE LOT NUMBER IN RELATION TO THE COMPLAINT ISSUE. CUSTOMER COMPLAINT DATA WAS REVIEWED AND NO ADVERSE TRENDS WERE IDENTIFIED. THE (B)(6) PACKAGE INSERT WAS REVIEWED AND WAS FOUND TO ADEQUATELY ADDRESS THE ISSUE. THE INVESTIGATION DID NOT IDENTIFY A MALFUNCTION / DEFICIENCY.

Description of Event or Problem · 1

THE CUSTOMER STATED THAT 3 SAMPLES GENERATED (B)(6) RESULTS WHEREAS VIDAS WAS (B)(6). ID (B)(4): (B)(6) RESULTS OF 0.90 AND 0.87 S/CO WERE GENERATED. VIDAS (B)(6). ID (B)(4): (B)(6) RESULTS OF 0.47 AND 0.48 S/CO WERE GENERATED. VIDAS (B)(6). ID (B)(4): (B)(6) RESULTS OF 0.86 AND 0.81 S/CO WERE GENERATED. VIDAS (B)(6). THERE WAS NO REPORT OF IMPACT TO PATIENT MANAGEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
613072 ARCHITECT ANTI-HBC II ANTI-HBC LOM ABBOTT GERMANY 40408LI00

Patients

Seq Age Sex Outcome Treatment
1 SN (B)(4)| ARCHITECT I2000SR ANALYZER 3M74-02| SN (B)(4)| ARCHITECT I2000SR ANALYZER 3M74-02