ARCHITECT C-PEPTIDE REAGENT 03L53-25

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2011-10-20 for ARCHITECT C-PEPTIDE REAGENT 03L53-25 manufactured by Abbott Laboratories.

Event Text Entries

[2286556] The customer observed a shift high in biorad quality controls when clinical chemistry c-peptide reagent lot 01711a000 was in use. The customer stated clinicians questioned multiple patient results, however, after repeated requests by abbott, the customer did not provide any examples of this data for review. Falsely elevated results were reported out of the lab, however, there was no known impact to patient management.
Patient Sequence No: 1, Text Type: D, B5


[9361000] (b)(4). The cause of the architect c-peptide falsely elevated quality controls and patient results was due to a new antibody lot used in the manufacturing of the c-peptide microparticle and/or conjugate reagents. Abbott issued a product recall letter to all customers with instructions to discard and destroy any remaining inventory of the affected lots.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1415939-2011-00654
MDR Report Key2301946
Report Source05
Date Received2011-10-20
Date of Report2011-07-12
Date Mfgr Received2011-09-28
Device Manufacturer Date2011-03-31
Date Added to Maude2011-12-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactNOEMI ROMERO-KONDOS, RN BSN
Manufacturer Street100 ABBOTT PARK ROAD DEPT. 09B9, LCCP1-3
Manufacturer CityABBOTT PARK IL 600643537
Manufacturer CountryUS
Manufacturer Postal600643537
Manufacturer Phone847937-512
Manufacturer G1ABBOTT LABORATORIES
Manufacturer Street100 ABBOTT PARK ROAD
Manufacturer CityABBOTT PARK IL 60064350
Manufacturer CountryUS
Manufacturer Postal Code60064 3500
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction Number1415939-7/11/11-001-R
Event Type3
Type of Report3

Device Details

Brand NameARCHITECT C-PEPTIDE REAGENT
Product CodeJKD
Date Received2011-10-20
Catalog Number03L53-25
Lot Number01711A000
Device Expiration Date2011-12-12
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 2011-10-20

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