FDA Adverse Event Malfunction Summary report: N

ARCHITECT I1000SR ANALYZER

MDR report key: 8647701 · Received May 28, 2019

Report

Report Number
1628664-2019-00404
Event Type
Malfunction
Date Received
May 28, 2019
Report Date
July 17, 2019
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
JJE
UDI-DI
00380740001544
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

AN INVESTIGATION WAS PERFORMED FOR THE CUSTOMER ISSUE AND INCLUDED A REVIEW OF THE COMPLAINT TEXT, A SEARCH FOR SIMILAR COMPLAINTS, TROUBLESHOOTING, A SERVICE HISTORY REVIEW, A REVIEW OF TRACKING AND TRENDING DATA, AND A REVIEW OF PRODUCT LABELING. SERVICE REPLACED CLEANED/DECONTAMINATED AND ADJUSTED MULTIPLE PARTS. THE VALVE, BYPASS, 2 WAY (ROHS)_PART NUMBER 7-200607-01 WAS DETERMINED THE LIKELY CAUSE. SERVICE VERIFIED THE SYSTEM FUNCTION BY PERFORMING SUCCESSFUL CALIBRATIONS AS WELL AS A SUCCESSFUL A CONTROL RUN. NO ADDITIONAL DISCREPANT RESULTS WERE REPORTED. A SERVICE HISTORY REVIEW FOR (B)(6) REVEALED NO ADDITIONAL DISCREPANT RESULTS, NOR DID IT IDENTIFY ANY SERVICE OR COMPLAINT ISSUES THAT MAY HAVE CONTRIBUTED TO THIS ISSUE. A 12- MONTH SEARCH FOR SIMILAR COMPLAINTS IDENTIFIED NO ADVERSE TREND OF VALVE, BYPASS, 2 WAY (ROHS)_PART NUMBER 7-200607-01. LABELING WAS REVIEWED AND FOUND TO BE ADEQUATE. NO SYSTEMIC ISSUES WERE IDENTIFIED. BASED ON ALL AVAILABLE INFORMATION AND ABBOTT DIAGNOSTICS' COMPLAINT INVESTIGATION A PRODUCT DEFICIENCY WAS NOT IDENTIFIED.

Additional Manufacturer Narrative · 1

ALL AVAILABLE PATIENT INFORMATION HAS BEEN INCLUDED. NO ADDITIONAL PATIENT INFORMATION IS AVAILABLE. AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED A DISCREPANT TROPONIN RESULT FOR SID (B)(6), WHEN PROCESSING ON THE ARCHITECT I1000SR. THE INITIAL RESULT WAS 200 NG/ML AND RETEST WAS 1.2 NG/ML. RESULT FROM ANOTHER LAB WAS 300 NG/ML. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
438938 ARCHITECT I1000SR ANALYZER AUTOMATED IMMUNOASSAY ANALYZER JJE ABBOTT MANUFACTURING INC 00380740001544

Patients

Seq Age Sex Outcome Treatment
1 ARCHITECT STAT HIGH SENSITIVE TROPONIN-I| LIST 03P25-26, LOT UNKNOWN