FDA Adverse Event Malfunction Summary report: N

ARCHITECT TOTAL B-HCG

MDR report key: 8101444 · Received November 26, 2018

Report

Report Number
3005094123-2018-00178
Event Type
Malfunction
Date Received
November 26, 2018
Report Date
January 15, 2019
Manufacturer
A.I.D.D LONGFORD
Product Code
DHA
PMA / PMN Number
K983424
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

A REVIEW OF THE COMPLAINT TRENDING REPORT DETERMINED THAT THERE ARE NO ADVERSE TRENDS FOR THE PRODUCT, HOWEVER A NON-STATISTICAL TREND WAS IDENTIFIED RELATED TO THE ISSUE UNDER REVIEW. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. HISTORICAL PERFORMANCE IN THE FIELD OF REAGENT LOTS USING WORLD WIDE DATA THROUGH ABBOTTLINK WAS EVALUATED. THE PATIENT MEDIAN RESULT FOR LOT 85141UI00 IS COMPARABLE WITH ALL OTHER LOTS IN THE FIELD WITHIN ESTABLISHED BASELINES, CONFIRMING NO SYSTEMIC ISSUE FOR THE LOT. ACCURACY TESTING WAS PERFORMED USING A RETAINED KIT OF LOT 85141UI00 AND ALL SPECIFICATIONS WERE MET INDICATING THE LOT IS PREFORMING ACCEPTABLY. A REVIEW OF THE INSTRUMENT LOG FILE CONFIRMED THE CUSTOMER'S OBSERVATION, HOWEVER, NO INSTRUMENT ISSUES WERE IDENTIFIED. A REVIEW OF THE MANUFACTURING DOCUMENTATION DID NOT IDENTIFY ANY ISSUES ASSOCIATED WITH THE CUSTOMER'S OBSERVATION. A REVIEW OF LABELING CONCLUDED THAT THE ISSUE IS ADEQUATELY ADDRESSED. BASED ON THE INVESTIGATION NO PRODUCT DEFICIENCY WAS IDENTIFIED FOR THE ARCHITECT TOTAL B-HCG, LOT 85141UI00.

Additional Manufacturer Narrative · 1

PATIENT IDENTIFIER = SID (B)(6) / NEW DRAW SAME PATIENT, SID (B)(6). AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. THERE WAS NO FURTHER PATIENT INFORMATION PROVIDED BY THE CUSTOMER.

Description of Event or Problem · 1

THE CUSTOMER REPORTED FALSELY ELEVATED ARCHITECT B-HCG RESULTS ON ONE PATIENT. THE RESULTS PROVIDED WERE: SID (B)(6) INITIAL = 9695.32MIU/ML (>/=25.0MIU/ML = POSITIVE) / NEW DRAW SAME PATIENT, SID (B)(6) RETEST = <1.5MIU/ML (</=5.0MIU/ML = NEGATIVE). THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
943280 ARCHITECT TOTAL B-HCG B-HCG DHA A.I.D.D LONGFORD 85141UI00

Patients

Seq Age Sex Outcome Treatment
1 ARCHITECT I2000SR ANALYZER, LIST # 03M74-02,| ARCHITECT I2000SR ANALYZER, LIST # 03M74-02,| SERIAL # (B)(4). | SERIAL # (B)(4).