FDA Adverse Event Malfunction Summary report: N

ARCHITECT C16000 SYSTEM

MDR report key: 8733204 · Received June 26, 2019

Report

Report Number
1628664-2019-00462
Event Type
Malfunction
Date Received
June 26, 2019
Date of Event
June 3, 2019
Report Date
July 22, 2019
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
JJE
UDI-DI
00380740005924
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

DURING A SITE VISIT BY ABBOTT FIELD SERVICE REPRESENTATIVE (FSR) TROUBLESHOOTING WAS PERFORMED WHICH INCLUDED REPLACING PARTS AND PERFORMING MAINTENANCE TO OPTIMIZE THE SYSTEM. THE FSR REPLACED THE CUVETTE DRYING TIP (LN 09D51-02) WHICH RESOLVED THE ISSUE. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. A REVIEW OF THE ARCHITECT C16000, SERIAL NUMBER (B)(4), SERVICE HISTORY REVEALED NO ADDITIONAL REPORTS OF INCONSISTENT OR ERRATIC RESULTS. A 12-MONTH REVIEW OF HISTORICAL DATA FOR THE CUVETTE DRYING TIP REVEALED NO TRENDS OR SYSTEMIC ISSUES. THE MONTHLY PRODUCT MONITORING REVIEW FOR THE ARCHITECT C16000 SYSTEMS FOUND NO SYSTEMIC ISSUES OR TRENDS FOR ERRATIC/DISCREPANT RESULTS. THE ARCHITECT SYSTEM OPERATIONS MANUAL PROVIDES ADEQUATE LABELING REGARDING MAINTENANCE, COMPONENT REPLACEMENT, LIMITATIONS OF RESULT INTERPRETATION, PATIENT RESULT FLAGGING, AND TROUBLESHOOTING THE REPORTED ISSUE. BASED ON THE INVESTIGATION NO PRODUCT DEFICIENCY WAS IDENTIFIED FOR EITHER THE ARCHITECT C16000, SERIAL NUMBER (B)(4), OR THE CUVETTE DRYING TIP (LN 09D51-02).

Additional Manufacturer Narrative · 1

PATIENT INFORMATION: PATIENT IDENTIFIER - MULTIPLE = (B)(6). AN EVALUATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. THERE WAS NO ADDITIONAL PATIENT INFORMATION PROVIDED BY THE CUSTOMER.

Description of Event or Problem · 1

THE CUSTOMER REPORTED FALSELY DEPRESSED SODIUM (NA), POTASSIUM (K), CHLORIDE (CL), AND CALCIUM (CA) ON 5 PATIENTS GENERATED ON THE ARCHITECT ANALYZER. THE RESULTS PROVIDED WERE: ON (B)(6) 2019 SID (B)(6), K= 2.5 / 4.0 (3.5-5.1 MEQ/L), CL = 67 / 108 (98-107MEQ/L); SID (B)(6) NA=107 / 140(136-145MEQ/L); SID (B)(6) NA = 101 / 137; SID (B)(6) CL=68 / 109; AND SID (B)(6) NA = 116 / 134. THERE WAS NO REPORTED IMPACT TO PATIENT MANAGEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
528080 ARCHITECT C16000 SYSTEM AUTOMATED CHEMISTRY ANALYZER JJE ABBOTT MANUFACTURING INC 00380740005924

Patients

Seq Age Sex Outcome Treatment
1 ICT MODULE, LIST # 09D28-04, LOT #| ICT MODULE, LIST 09D28-04| LOT = UNKNOWN