FDA Adverse Event Malfunction Summary report: N

ARCHITECT C4000 ANALYZER

MDR report key: 8523555 · Received April 17, 2019

Report

Report Number
1628664-2019-00312
Event Type
Malfunction
Date Received
April 17, 2019
Report Date
August 15, 2019
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
JJE
UDI-DI
00380740003753
PMA / PMN Number
K980367
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
RP
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

A REVIEW OF ALL COMPLAINTS ASSOCIATED WITH THE ICT DILUENT, LIST NUMBER 2P32, LOT NUMBER 99546UN18 DID NOT FIND ANY SIMILAR COMPLAINTS AND NO TRENDS ASSOCIATED WITH THIS ISSUE WERE IDENTIFIED. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. THE TEXT IN THE TICKET INDICATES THAT TROUBLESHOOTING RESOLVED THE ISSUE. A REVIEW OF THE PRODUCT LABELING CONCLUDED THAT THE ISSUE IS SUFFICIENTLY ADDRESSED. BASED ON THE INVESTIGATION NO PRODUCT DEFICIENCY WAS IDENTIFIED FOR THE ICT DILUENT, LOT NUMBER 99546UN18.

Additional Manufacturer Narrative · 1

AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. THERE IS NO FURTHER PATIENT INFORMATION PROVIDED DUE TO PRIVACY ISSUES.

Description of Event or Problem · 1

THE CUSTOMER REPORTED FALSELY DEPRESSED SODIUM (NA) RESULTS ON ONE PATIENT ON THE ARCHITECT ANALYZER. THE RESULTS PROVIDED WERE: PT# 6 = 113 / 117 / 133MMOL/L. THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
317552 ARCHITECT C4000 ANALYZER AUTOMATED CHEMISTRY ANALYZER JJE ABBOTT MANUFACTURING INC 00380740003753

Patients

Seq Age Sex Outcome Treatment
1 SODIUM| SODIUM