FDA Adverse Event Malfunction Summary report: N

ARCHITECT C4000 ANALYZER

MDR report key: 9591172 · Received January 15, 2020

Report

Report Number
1628664-2020-00018
Event Type
Malfunction
Date Received
January 15, 2020
Date of Event
December 31, 2019
Report Date
February 10, 2020
Manufacturer
ABBOTT MANUFACTURING INC
Product Code
JJE
UDI-DI
00380740003746
PMA / PMN Number
K980367
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL PATIENT PROVIDED: PT# 2 = 166 / 140. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED. THE CUSTOMER REPLACED THE ARCHITECT DRYING TIP WHICH RESOLVED THE ISSUE. THERE WERE NO ADDITIONAL DISCREPANT RESULTS REPORTED ON THE ARCHITECT C4000, SERIAL NUMBER (B)(6) , AFTER THE DRYING TIP WAS REPLACED. A REVIEW OF THE ARCHITECT (B)(6) INSTRUMENT SERVICE HISTORY, IDENTIFIED NO CONTRIBUTING FACTORS TO THE DISCREPANT RESULT, NOR DID IT IDENTIFY ANY ADDITIONAL ERRATIC OR DISCREPANT RESULTS REPORTED. A REVIEW OF THE ARCHITECT CLINICAL CHEMISTRY SYSTEMS FOUND ALL ERRATIC RESULTS WERE BELOW THE UPPER CONTROL LIMIT. NO TRENDS OR SIMILAR ISSUES FOR DISCREPANT RESULTS AS DESCRIBED IN THIS TICKET WERE IDENTIFIED. A REVIEW OF HISTORICAL DATA FOR THE ARCHITECT DRYING TIP ASSOCIATED WITH THIS COMPLAINT, REVEALED NO TRENDS, SYSTEMIC ISSUES, OR NONCONFORMANCES. A REVIEW OF LABELLING ADEQUATELY ADDRESSES SAMPLE RESULTS OBSERVED PROBLEMS FOR ERRATIC / DISCREPANT RESULTS, INCLUDING, BUT NOT LIMITED TO THE TROUBLESHOOTING PERFORMED BY THE CUSTOMER. BASED ON THE INVESTIGATION NO PRODUCT DEFICIENCY WAS IDENTIFIED FOR EITHER THE ARCHITECT C4000, SERIAL NUMBER (B)(6) , OR THE ARCHITECT DRYING TIP.

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 A FALSELY ELEVATED SODIUM (NA) RESULT GENERATED ON THE ARCHITECT C4000 ANALYZER ON ONE PATIENT. (B)(6) SERUM = 160 / 143 / 142; PLASMA = 142 (NORMAL RANGE: 136-145), NO UNITS PROVIDED. NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
55229 ARCHITECT C4000 ANALYZER AUTOMATED CHEMISTRY ANALYZER JJE ABBOTT MANUFACTURING INC 2P24-01 00380740003746

Patients

Seq Age Sex Outcome Treatment
1