FDA Adverse Event Malfunction Summary report: N

ARCHITECT C8000 SYSTEM

MDR report key: 9580806 · Received January 13, 2020

Report

Report Number
1628664-2020-00017
Event Type
Malfunction
Date Received
January 13, 2020
Date of Event
December 31, 2019
Report Date
January 27, 2020
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
JJE
UDI-DI
00380740000509
PMA / PMN Number
K980367
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

SECTION B5: TWO ADDITIONAL PATIENTS ADDED DURING THE SUBSEQUENT SITE VISIT BY THE FIELD SERVICE ENGINEER (FSE) THE ANALYZER WAS INSPECTED, AND A PART REPLACEMENT (HIGH CONCENTRATED WASTE TUBING) WAS PERFORMED. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. A REVIEW OF THE ANALYZER SERVICE HISTORY IDENTIFIED NO CONTRIBUTING FACTORS TO THE CURRENT COMPLAINT. THERE HAVE BEEN NO FURTHER OCCURRENCES OF DISCREPANT RESULTS AFTER THE SERVICE ACTIVITY WAS PERFORMED BY THE FSE. THE ARCHITECT SYSTEM OPERATIONS MANUAL ADDRESSES SAMPLE RESULT OBSERVED PROBLEMS AND TROUBLESHOOTING FOR ERRATIC/DISCREPANT RESULTS. A REVIEW OF THE CLINICAL CHEMISTRY SYSTEMS TRACKING AND TRENDING DATA REVEALED NO SYSTEMIC ISSUES OR TRENDS ASSOCIATED WITH THE DISCREPANT RESULT DESCRIBED IN THIS COMPLAINT. MANUFACTURING DOCUMENTATION FOR THE LIKELY CAUSE LOT DID NOT IDENTIFY ANY ISSUES ASSOCIATED WITH THE COMPLAINT ISSUE. BASED ON THE INVESTIGATION NO PRODUCT DEFICIENCY WAS IDENTIFIED.

Description of Event or Problem · 0

THE CUSTOMER REPORTED FALSELY ELEVATED SODIUM (NA) AND CO2 RESULTS GENERATED ON THE ARCHITECT C8000 ON TWO ADDITIONAL PATIENTS. SID 1100080281: NA = 163 / 141 MMOL/L; SID (B)(6) : CO2 = 46 MMOL/L, ANOTHER ARCHITECT = 25 MMOL/L. REFERENCE RANGES: NA = (136-145 MMOL/L); CO2 = (22-29 MMOL/L). NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Additional Manufacturer Narrative · 1

AN EVALUATION IS IN PROCESS. A FOLLOW UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. ALL AVAILABLE PATIENT INFORMATION WAS INCLUDED. ADDITIONAL PATIENT DETAILS ARE NOT AVAILABLE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED FALSELY ELEVATED SODIUM (NA) AND CHLORIDE (CL) RESULTS GENERATED ON THE ARCHITECT C8000 ON ONE PATIENT. RESULTS PROVIDED: NA = 185 / 140 MMOL/L / ANOTHER ARCHITECT = 142 MMOL/L; CL = 143 / 107 MMOL/L / ANOTHER ARCHITECT = 111 MMOL/L. REFERENCE RANGES: NA = (136-145 MMOL/L); CL = (98-107 MMOL/L). NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
43357 ARCHITECT C8000 SYSTEM AUTOMATED CHEMISTRY ANALYZER JJE ABBOTT MANUFACTURING INC 1G06-11 00380740000509

Patients

Seq Age Sex Outcome Treatment
1