FDA Adverse Event Malfunction Summary report: N

ARCHITECT I2000SR ANALYZER

MDR report key: 7073215 · Received November 30, 2017

Report

Report Number
1628664-2017-00469
Event Type
Malfunction
Date Received
November 30, 2017
Date of Event
November 2, 2017
Report Date
November 30, 2017
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
JJE
UDI-DI
00380740006235
PMA / PMN Number
K983212
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IS
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

AN ABBOTT FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE ACCOUNT AND REPLACED THE MANIFOLD KIT VALVE [PART 7-77612-03] AND VACUUM VESSEL VALVE, DRAIN [PART 7-76447-01]. THESE PARTS WERE CONSIDERED THE LIKELY CAUSE OF THE CUSTOMER ISSUE. THE FSE PERFORMED A CONTROL RUN AND THE ANALYZER WAS RETURNED TO NORMAL OPERATION. EVALUATION OF THE CUSTOMER ISSUE INCLUDED A REVIEW OF THE COMPLAINT TEXT, A SEARCH FOR SIMILAR COMPLAINTS, A LABELING REVIEW, DEVICE HISTORY REVIEW, AND AN INSTRUMENT SERVICE REVIEW. NO RETURNS WERE MADE AVAILABLE FROM THE CUSTOMER SITE FOR THIS EVALUATION. NO ADVERSE TREND WAS IDENTIFIED FOR THE CUSTOMER ISSUE IN A 12 MONTH PERIOD FOR SIMILAR COMPLAINTS THAT INCLUDED THE REPLACED PARTS. LABELING WAS REVIEWED AND FOUND TO BE ADEQUATE. THE ISSUE WAS RESOLVED THROUGH REPLACEMENT OF PARTS, INCLUDING MANIFOLD KIT VALVE [PART 7-77612-03] AND VACUUM VESSEL VALVE, DRAIN [PART 7-76447-01]. DEVICE HISTORY REVIEW FOR REPLACED PARTS, MANIFOLD KIT VALVE [PART 7-77612-03] AND VACUUM VESSEL VALVE, DRAIN [PART 7-76447-01], DID NOT IDENTIFY ANY ISSUES THAT MAY HAVE CAUSED THE CUSTOMER ISSUE. SERVICE HISTORY REVIEW IDENTIFIED ONE ADDITIONAL ISSUE FOR THE SAME CUSTOMER. THE ADDITIONAL ISSUE WAS RELATED TO A SINGLE FALSE POSITIVE TOTAL B-HCG RESULT THAT WAS RECEIVED ON NOVEMBER 18, 2017. THIS ISSUE WAS RESOLVED BY REPLACEMENT OF THE WZ MANIFOLD, FEP TIPS [PART 7-96176-05]. NO CONTRIBUTING FACTORS TO THE CUSTOMER ISSUE WERE IDENTIFIED AND NO ADDITIONAL DISCREPANT RESULTS WERE REPORTED BY THE CUSTOMER. BASED ON ALL AVAILABLE INFORMATION AND ABBOTT DIAGNOSTICS EVALUATION, NO SYSTEMIC ISSUE WAS IDENTIFIED AND NO PRODUCT DEFICIENCY WAS FOUND. CONCOMITANT MEDICAL PRODUCTS: THE CUSTOMER WAS USING ARCHITECT TOTAL B-HCG REAGENT LN 7K78-25/-26 LN 76055LI00 OR LN 7K78-35 LN 76054UI00 WITH THE COMPLAINT ANALYZER.

Description of Event or Problem · 1

THE CUSTOMER OBSERVED FALSELY POSITIVE BETA HUMAN CHORIONIC GONADOTROPIN (B-HCG) RESULTS FOR ONE PATIENT WHILE USING THE ARCHITECT I2000SR ANALYZER. THE FOLLOWING RESULTS WERE PROVIDED. SID (B)(6) INITIAL 419 MIU/ML (POSITIVE), REPEAT LESS THAN 1.2 (NEGATIVE). REPEAT USING THE SAME ANALYZER AND ANOTHER ANALYZER WERE NEGATIVE, HOWEVER THE SPECIFIC VALUES WERE NOT PROVIDED. THE PATIENT HAD BEEN TAKING MEDICATION SIMVASTATIN REGULARLY. THE CUSTOMER STATED THAT THE MEDICATION WAS NOT GIVEN OR WITHHELD DUE TO THE FALSELY ELEVATED RESULTS. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
852010 ARCHITECT I2000SR ANALYZER AUTOMATED IMMUNOASSAY ANALYZER JJE ABBOTT MANUFACTURING INC 00380740006235

Patients

Seq Age Sex Outcome Treatment
1 42 YR