FDA Adverse Event Other Summary report: N

CLINICAL CHEMISTRY PHENYTOIN

MDR report key: 938887 · Received November 8, 2007

Report

Report Number
2018433-2007-00233
Event Type
Other
Date Received
November 8, 2007
Date of Event
October 10, 2007
Report Date
October 15, 2007
Manufacturer
ABBOTT MANUFACTURING, INC.
Product Code
LES
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS IS AN INITIAL REPORT. A FINAL REPORT WILL BE SUBMITTED AT THE CONCLUSION OF AN INVESTIGATION.

Description of Event or Problem · 1

THE CUSTOMER STATES, THAT FALSELY ELEVATED RESULTS WERE GENERATED FOR ONE PATIENT SAMPLE USING ARCHITECT C8000 PHENYTOIN ASSAY. NO SUSPECT RESULTS WERE REPORTED FROM THE LAB. THE CUSTOMER STATES, THAT IN 2007, AT 15:58 HRS, THE SAMPLE FROM THIS PATIENT READ 72, 81, AND 106 UMOL/L. AT 17:20 HRS, THE SAMPLE READ 69, 69, 69, 67 AND 67 UMOL/L. AT 22:36 HRS, THE SAMPLE READ 77, 79, 77, 78, AND 80 UMOL/L. THE FOLLOWING DAY, THE PATIENT GENERATED A RESULT OF 72 UMOL/L. AT 09:27 HRS A RESULT OF 95 UMOL/L WAS GENERATED. AT 11:57 HRS, ONE SAMPLE GENERATED RESULTS OF 77, 81, 79 AND 95 UMOL/L. THE CUSTOMER STATES, THAT THE PHENYTOIN ASSAY IS THE ONLY ASSAY WITH THIS PRECISION ISSUE. CONTROLS HAVE REMAINED WITHIN SPECIFICATIONS. THERE IS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CLINICAL CHEMISTRY PHENYTOIN QUANTITATION OF PHENYTOIN IN HUMAN SERUM OR PLASMA LES ABBOTT MANUFACTURING, INC. NA 52013HW00

Patients

Seq Age Sex Outcome Treatment
1 UNK YR Other ARCHITECT C8000 ANALYZER LIST#: 1G06-01