ARCHITECT INSULIN 08K41-26

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 2012-05-24 for ARCHITECT INSULIN 08K41-26 manufactured by Abbott Laboratories.

Event Text Entries

[9831477] The customer did not provide the lot number of the architect insulin assay reagent used at their site. Therefore, a historical review of accuracy testing was performed for this list number. All results were within specification, indicating the assay is capable of accurately detecting various levels of the insulin analyte. A review of complaint tracking and trending metrics was performed and identified no adverse trends in conjunction with the complaint issue currently under evaluation. The architect insulin assay package insert (list 08k41) contains information to address the customer's current issue. Based on the results of the current investigation, the architect insulin assay is performing as designed. A product deficiency was not identified.
Patient Sequence No: 1, Text Type: N, H10


[21750839] The customer observed an alleged falsely elevated architect insulin assay result on one patient. The patient is not diabetic and the customer did not provide any reason why the insulin level for this patient was being monitored. In the morning of (b)(6) 2012, the patient generated an architect insulin result of 13. 3 uu/ml (sample #1). The evening sample (#2) of that same date generated a result of 633 uu/ml (auto-dilution). The following morning, sample (#3) generated a result of 143 uu/ml. The customer is questioning the elevated result of 633 uu/ml; however, the patient's physician did not comment on any of the insulin results. There is no impact to patient management reported.
Patient Sequence No: 1, Text Type: D, B5


[21924970] An investigation is in process. A follow-up report will be submitted when the investigation is complete. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1415939-2012-00217
MDR Report Key2587376
Report Source01
Date Received2012-05-24
Date of Report2012-05-22
Date of Event2012-05-21
Date Mfgr Received2012-06-04
Date Added to Maude2012-09-28
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 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
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARCHITECT INSULIN
Product CodeCFP
Date Received2012-05-24
Catalog Number08K41-26
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
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 2012-05-24

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