ARCHITECT IPTH
Report
- Report Number
- 3002809144-2016-00013
- Event Type
- Malfunction
- Date Received
- March 15, 2016
- Report Date
- May 10, 2017
- Manufacturer
- ABBOTT GERMANY
- Product Code
- CEW
- PMA / PMN Number
- K063232
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IT
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER 08K25-25, THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER 08K25-27. (B)(4).
NO RETURNS WERE MADE AVAILABLE FROM THE CUSTOMER SITE FOR THIS INVESTIGATION. THE INVESTIGATION OF THE CUSTOMER ISSUE INCLUDED A REVIEW OF COMPLAINT TEXT, A SEARCH FOR SIMILAR COMPLAINTS, ACCURACY TESTING, A LITERATURE REVIEW, AND A REVIEW OF LABELING. A LOT SEARCH FOR REAGENT LOT 00615K000 DID NOT IDENTIFY ATYPICAL COMPLAINT ACTIVITY. ACCURACY TESTING WAS PERFORMED USING IN-HOUSE FILE SAMPLES OF REAGENT LOT 00615K000 AND MET ACCEPTANCE CRITERIA. A STUDY WAS REVIEWED "PERFORMANCE CHARACTERISTICS OF SIX INTACT PARATHYROID HORMONE ASSAYS "; SONIA L. LA'ULU, AND WILLIAM L. ROBERTS, MD, PHD. AM J CLIN PATHOL 2010;134:930-938, 2010. THIS STUDY LOOKED AT THE PERFORMANCE CHARACTERISTICS OF SIX DIFFERENT INTACT PARATHYROID HORMONE ASSAYS, INCLUDING THE ARCHITECT IPTH ASSAY, WHICH WAS THE COMPARISON METHOD. OVERALL, THE STUDY FOUND GOOD CORRELATION FOR ALL METHODS, BUT DID INDICATE THERE WAS SIGNIFICANT BIAS BETWEEN METHODS. THE STUDY CONCLUDED THAT THERE ARE MANY FACTORS THAT POTENTIALLY INFLUENCE VARIABILITY FOR PTH MEASUREMENTS AND THAT STANDARDIZATION EFFORTS ARE WARRANTED AND ASSAY-SPECIFIC DECISION LIMITS ARE REQUIRED. THE ARCHITECT INTACT PTH ASSAY PACKAGE INSERT CONTAINS INFORMATION TO ADDRESS THE CURRENT CUSTOMER ISSUE. BASED ON THE RESULTS OF THIS INVESTIGATION AND THE INFORMATION FROM THE CUSTOMER SITE, IT WAS DETERMINED THAT THE ARCHITECT IPTH ASSAY IS PERFORMING AS INTENDED AND NO PRODUCT DEFICIENCY/MALFUNCTION WAS IDENTIFIED.
THE DEVICE EVALUATION WAS REASSESSED AND CONCLUDED THAT A MALFUNCTION OCCURRED; THEREFORE, THE DEVICE WAS NOT PERFORMING AS INTENDED AND THE EVALUATION CODES WERE CORRECTED.
THE CUSTOMER REPORTS AN INCREASE IN THE NUMBER OF FALSELY ELEVATED ARCHITECT IPTH ASSAY RESULTS GENERATED FOR PATIENT SAMPLES TESTED ON THE ARCHITECT I1000SR ANALYZER. THE CUSTOMER PROVIDED THE FOLLOWING EXAMPLE: ARCHITECT IPTH ASSAY RESULTS: 157 AND 168 PG/ML. DIASORIN PTH RESULTS: 72 PG/ML. NO SUSPECT RESULTS HAVE BEEN REPORTED FROM THE LAB WITH NO PATIENT IMPACT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 158242 | ARCHITECT IPTH | INTACT PARATHYROID HORMONE | CEW | ABBOTT GERMANY | 00615K000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |