FDA Adverse Event Malfunction Summary report: N

ARCHITECT I2000SR ANALYZER

MDR report key: 7793137 · Received August 17, 2018

Report

Report Number
1628664-2018-01472
Event Type
Malfunction
Date Received
August 17, 2018
Report Date
October 4, 2018
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
JJE
UDI-DI
00380740006235
PMA / PMN Number
K983212
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

FURTHER INVESTIGATION OF THE CUSTOMER ISSUE INCLUDED A REVIEW OF THE COMPLAINT TEXT, A SEARCH FOR SIMILAR COMPLAINTS, REVIEW OF INSTRUMENT LOGS, A REVIEW OF LABELING AND INSTRUMENT SERVICE. NO ADVERSE TREND WAS IDENTIFIED FOR THE CUSTOMER'S ISSUE. LABELING WAS REVIEWED AND FOUND TO BE ADEQUATE. THE ABBOTT SERVICE REPRESENTATIVE PERFORMED ON-SITE TROUBLESHOOTING OF THE ANALYZER THAT INCLUDED SYSTEM CHECKS AND DIAGNOSTICS, SYSTEM DECONTAMINATION AND REPLACEMENT OF MULTIPLE PARTS. BASED ON ALL AVAILABLE INFORMATION AND ABBOTT DIAGNOSTICS' COMPLAINT INVESTIGATION NO PRODUCT DEFICIENCY WAS IDENTIFIED.

Additional Manufacturer Narrative · 1

ON (B)(6) 2018, A SECOND SUSPECT MEDICAL DEVICE WAS ADDED. THIS INFORMATION IS IDENTICAL TO THE REPORT SENT IN MANUFACTURER REPORT 3005094123-2018-00023 AGAINST LIKELY CAUSE B-HCG REAGENTS LN 07K78-30 LOT 80244UI00. AN EVALUATION IS IN PROCESS. A FINAL REPORT WILL BE SUBMITTED WHEN THE EVALUATION IC COMPLETED.

Description of Event or Problem · 1

THE CUSTOMER OBSERVED FALSELY DEPRESSED B-HCG RESULT ON THE ARCHITECT I2000SR ANALYZER. THE FOLLOWING DATA WAS PROVIDED FOR A FEMALE PREGNANT WITH TWINS: (B)(6) INITIAL 14.711 MIU/ML, REPEAT 31.00, 90.00, 99.385. A SECOND PATIENT (B)(6) INITIAL 14.219, REPEATS 14.703, 14.826, AND REPEATED ON ANOTHER METHOD AS 123.668 MIU/ML. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
634030 ARCHITECT I2000SR ANALYZER AUTOMATED IMMUNOASSAY ANALYZER JJE ABBOTT MANUFACTURING INC 00380740006235

Patients

Seq Age Sex Outcome Treatment
1 B-HCG REAGENTS| B-HCG REAGENTS| LN 07K78-30 LOT 80244UI00| LN 07K78-30 LOT 80244UI00.| B-HCG REAGENTS| LN 07K78-30 LOT 80244UI00.