FDA Adverse Event Malfunction Summary report: N

ARCHITECT ANTI-HBC II

MDR report key: 6594827 · Received May 26, 2017

Report

Report Number
3002809144-2017-00079
Event Type
Malfunction
Date Received
May 26, 2017
Date of Event
May 4, 2017
Report Date
August 28, 2017
Manufacturer
ABBOTT GERMANY
Product Code
LOM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

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 8L44 THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER 6L22.

Additional Manufacturer Narrative · 1

THE CUSTOMER REPORTED AN INITIAL FALSE NON-REACTIVE RESULT FOR ONE PATIENT SAMPLE WHEN USING ARCHITECT ANTI-HBC II REAGENT, LIST NUMBER 8L44-35, LOT NUMBER 73144LI00. A REVIEW OF TICKETS FOR LOT 73144LI00 DID NOT IDENTIFY AN INCREASE IN COMPLAINTS AND NO TRENDS FOR THE REPORTED ISSUE. SENSITIVITY TESTING WAS PERFORMED WITH RETAINED KITS OF LOT 73144LI00 AND TWO COMMERCIALLY AVAILABLE SEROCONVERSION PANELS (BIOMEX SCP-HBV-001 AND SCP-HBV-004). THE SEROCONVERSION PANEL RESULTS WERE COMPARED WITH DATA PROVIDED BY BIOMEX. REAGENT LOT 73144LI00 DETECTED THE SAME BLEEDS AS REACTIVE WITH COMPARABLE S/CO VALUES WHEN COMPARED TO THE DATA PROVIDED BY BIOMEX. A REVIEW OF THE INSTRUMENT LOG FILES WAS PERFORMED AND DETECTED NO ISSUES ASSOCIATED WITH THIS COMPLAINT. A REVIEW OF THE MANUFACTURING DOCUMENTATION DID NOT IDENTIFY ANY ISSUES ASSOCIATED WITH THE CUSTOMER OBSERVATION. A REVIEW OF LABELING WAS FOUND TO ADEQUATELY ADDRESS THE ISSUE. BASED ON THE INVESTIGATION NO PRODUCT DEFICIENCY WAS IDENTIFIED FOR THE ARCHITECT ANTI-HBC II, LOT 73144LI00.

Additional Manufacturer Narrative · 1

CORRECTED SUSPECT MEDICAL DEVICE; LOT# FROM UNKNOWN TO 73144LI00.

Description of Event or Problem · 1

THE CUSTOMER REPORTED A (B)(6) ARCHITECT (B)(6) ON ONE PATIENT. THE RESULTS PROVIDED WERE: SID 6466568 ON (B)(6) 2017 INITIAL = 0.48S/CO (<1.00S/CO = (B)(6)) / REPEATED = 6.05S/CO (>/=1.00S/CO = (B)(6)). THE PATIENT WAS PREVIOUSLY (B)(6) FOR (B)(6). THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT. THERE WAS NO ADDITIONAL PATIENT INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
374545 ARCHITECT ANTI-HBC II ANTI-HBC LOM ABBOTT GERMANY 73144LI00

Patients

Seq Age Sex Outcome Treatment
1