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 01,05 report with the FDA on 2013-04-05 for ARCHITECT INSULIN 08K41-26 manufactured by Abbott Laboratories.

Event Text Entries

[16431018] Accuracy testing was performed with an in-house retained reagent kit of architect insulin assay list 08k41-26, lot 25020lp46. Four members of an insulin panel were tested in replicates of five on one isystems analyzer. All results met specifications, indicating that assay performance has not been compromised. 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 contains information to address the current customer issue. The customer issue was isolated to a single patient sample. No further troubleshooting or information from the customer site was provided. Based on the information received from the customer site and the results of the current evaluation, it can be concluded that the architect insulin assay is performing as expected with no product issues found. A product malfunction was not identified.
Patient Sequence No: 1, Text Type: N, H10


[20632159] The customer reports falsely elevated architect insulin assay results for one patient. An initial result of 291. 9 uu/ml was generated (current sample, date unknown). However, this sample was also tested with the auto-dilution mode of the analyzer (1:2 dilution) and a final result of 562. 3 uu/ml was generated. The sample was retested with an undiluted result of 299. 6 uu/ml and an auto-dilution result of 543. 4 uu/ml. The customer believes that the auto-dilution result is correct because a previous sample taken (on or about 29 march 2013) from this patient had generated a result of 590. 9 uu/ml. The customer then performed manual dilutions of the sample with the following results: current sample = 567. 7 uu/ml (1:2) and 843. 2 uu/ml (1:5); 29 march 2013 sample = 906. 9 uu/ml (1:5) and 1009. 6 uu/ml (1:10). The patient's insulin antibody test generated a result of greater than 50 u/ml. There is no report of any impact to patient care due to this issue.
Patient Sequence No: 1, Text Type: D, B5


[20899107] An evaluation is in process. A follow-up report will be submitted when the evaluation is complete. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1415939-2013-00168
MDR Report Key3037731
Report Source01,05
Date Received2013-04-05
Date of Report2013-03-29
Date Mfgr Received2013-06-19
Device Manufacturer Date2012-12-01
Date Added to Maude2013-04-05
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 Received2013-04-05
Catalog Number08K41-26
Lot Number25020LP46
Device Expiration Date2013-11-11
OperatorOTHER
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 2013-04-05

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