AXSYM RUBELLA LGG ANTIBODY 3B23-20

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01 report with the FDA on 2009-03-12 for AXSYM RUBELLA LGG ANTIBODY 3B23-20 manufactured by Abbott Laboratories.

Event Text Entries

[1079549] The customer contacted abbott for two calibration failures for the axsym rubella lgg assay where error codes 1006 (calibration check failure, cal d, deviation too large) and 1018 (calibration check failure, cal a, result too high) were generated. The customer stated axsym maintenance was performed regularly, and the customer was advised to replace the sample probe. After sample probe replacement, the customer reported a successful rubella calibration was achieved, although the rubella negative control was 0. 7 instead of zero. The customer recalibrated with the same reagent lot and obtained error code 1018 again. The customer was advised to centrifuge the calibrator and recalibration of the assay was acceptable. The customer was sent a new lot of reagent and recalibration with the new reagent failed. There was no impact to patient management reported by the customer.
Patient Sequence No: 1, Text Type: D, B5


[8253868] (no consequence or impact to patient). (calibration error). (error message given). This is an initial report. An investigation is in process. A final report will be submitted when the investigation is complete.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1415939-2008-00290
MDR Report Key1341436
Report Source01
Date Received2009-03-12
Date of Report2008-02-01
Date of Event2008-01-31
Date Mfgr Received2008-06-02
Date Added to Maude2009-03-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactKHAUDEJA BANO
Manufacturer Street100 ABBOTT PARK ROAD
Manufacturer CityABBOTT PARK IL 600646112
Manufacturer CountryUS
Manufacturer Postal600646112
Manufacturer Phone8479386319
Single Use3
Remedial ActionOT
Previous Use Code3
Removal Correction Number1415939-6/06/08-004-C
Event Type3
Type of Report3

Device Details

Brand NameAXSYM RUBELLA LGG ANTIBODY
Generic NameMEIA FOR THE MEASUREMENT OF LGG ANTIBODY TO THE RUBELLA VIRUS
Product CodeGOL
Date Received2009-03-12
Model NumberNA
Catalog Number3B23-20
Lot Number55922M100
ID NumberUNK
Device Expiration Date2008-06-20
OperatorOTHER
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT LABORATORIES
Manufacturer Address100 ABBOTT PARK ROAD ABBOTT PARK IL 60064350 US 60064 3500


Patients

Patient NumberTreatmentOutcomeDate
10 2009-03-12

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