ARCHITECT CYCLOSPORINE 01L75-25

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 2013-07-18 for ARCHITECT CYCLOSPORINE 01L75-25 manufactured by Abbott Laboratories.

Event Text Entries

[3653965] The customer stated that discrepant architect cyclosporine results were generated. An initial result of 600 ng/ml was generated. The sample was retested and a result of 680 ng/ml was generated. The following day a new sample was obtained and a result of 120 ng/ml was generated. This sample was retested and a result of 124 ng/ml was obtained. Further cyclosporine results from the patient were as follows. (b)(6). The customer indicated that the issue may have been due to an increase in the drip rate by the attending nurse. There was no report of impact to patient management.
Patient Sequence No: 1, Text Type: D, B5


[10902416] (b)(4). An evaluation is in process. A follow-up report will be submitted when the evaluation is complete.
Patient Sequence No: 1, Text Type: N, H10


[26492379] Review of customer information; tracking and trending review. Additional information was provided by the customer. They indicated that the cause of the discrepant results was due to the administration of the cyclosporine medication and the results were accurate. Customer complaint data was reviewed and no adverse trends were identified for the issue under investigation. The architect cyclosporine reagent package insert and the architect system operation manual were reviewed and were found to adequately address the issue. The investigation did not identify a malfunction / deficiency.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1415939-2013-00294
MDR Report Key3232725
Report Source01,05
Date Received2013-07-18
Date of Report2013-06-26
Date of Event2013-06-25
Date Mfgr Received2013-09-26
Device Manufacturer Date2013-01-01
Date Added to Maude2013-07-24
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 CYCLOSPORINE
Product CodeMKW
Date Received2013-07-18
Catalog Number01L75-25
Lot Number21307M500
Device Expiration Date2013-10-24
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 2013-07-18

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