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 01,05 report with the FDA on 2009-03-12 for AXSYM RUBELLA LGG ANTIBODY 3B23-20 manufactured by Abbott Laboratories.

Event Text Entries

[16370634] The customer stated that the axsym rubella lgg reagent calibration failed with error code 1048: calibration check failure, cala/b rartio too high, on the axsym analyzer. The abbott field service engineer (fse) replaced the sample carousel motor, performed a robotics calibration, cleaned the matrix cell carousel, performed a meia station verification, a meia/fpia optics verification, check the fluids and recalibrated the rubella assay without resolution. The fse then recalibrated with an old lot of calibrator and the calibration passed. No impact to patient management reported.
Patient Sequence No: 1, Text Type: D, B5


[16486641] (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 Number1415939-2008-00274
MDR Report Key1341460
Report Source01,05
Date Received2009-03-12
Date of Report2008-05-13
Date of Event2008-05-12
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 Number55922M101
ID NumberNA
Device Expiration Date2008-06-20
OperatorHEALTH PROFESSIONAL
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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