FDA Adverse Event
Other
Summary report: N
CD4000 110V
MDR report key: 597567
·
Received August 2, 2004
Report
- Report Number
- 2919069-2004-00058
- Event Type
- Other
- Date Received
- August 2, 2004
- Date of Event
- June 28, 2004
- Report Date
- July 29, 2004
- Manufacturer
- ABBOTT DIAGNOSTICS DIVISION/CELL/DYN
- Product Code
- GKZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
ACCOUNT STATED THAT THE CD4000 ASPIRATED A SAMPLE INCORRECTLY. THE INSTRUMENT GAVE A "MIXHEAD FAILED TO DESCEND" AND A "MIXHEAD FAILED TO HOME" ERROR. THE SAMPLES WERE REPEATED AND THE ACCOUNT DETERMINED THAT THE SAMPLE IN RACK/TUBE POSITION 26/05 HAD RESULTS WHICH MATCHED THE RESULTS FROM THE SAMPLE IN RACK/TUBE POSITION 26/06.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CD4000 110V | AUTOMATED HEMATOLOGY ANALYZER | GKZ | ABBOTT DIAGNOSTICS DIVISION/CELL/DYN | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 7 YR |