FDA Adverse Event Other Summary report: N

AXSYM HCV 3.0

MDR report key: 589090 · Received April 7, 2005

Report

Report Number
1628664-2005-00013
Event Type
Other
Date Received
April 7, 2005
Date of Event
March 7, 2005
Report Date
April 7, 2005
Manufacturer
ABBOTT GMBH & CO. KG
Product Code
JJE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

A NONREACTIVE AXSYM HCV V3.0 RESULT OF 0.30 S/CO WAS GENERATED ON A PRESURGICAL PATIENT THAT CLAIMED TO BE HCV POSITIVE. THE SAMPLE TESTED POSITIVE USING ACCESS HCV METHOD(1.90 X/CO). THE CUSTOMER RECALIBRATED THE AXSYM HCV REAGENT AND RECENTRIFUGED THE SAMPLE WHICH TESTED NONREACTIVE AGAIN AT 0.87 S/CO. A NONREACTIVE AXSYM HCV RESULT OF 0.68 S/CO WAS GENERATED ON A DIFFERENT PATIENT SAMPLE THAT TESTED POSITIVE AT 4.7 S/CO ON ACCESS HCV METHOD. ADDITIONAL TESTING IS PLANNED BY THE CUSTOMER TO DETERMINE HCV STATUS OF THE PATIENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AXSYM HCV 3.0 IN VITRO DIAGNOSTIC TEST FOR THE DETECTION OF HEPAT JJE ABBOTT GMBH & CO. KG NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN ABBOTT AXSYM ANALYZER, LIST 7A83-97, SERIAL 8424.