ARCHITECT CYCLOSPORINE 01L75-55

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 2013-09-10 for ARCHITECT CYCLOSPORINE 01L75-55 manufactured by Abbott Laboratories.

Event Text Entries

[3808496] The customer reported a splash in his eye while transferring the cyclosporine calibrator to the immunosuppressant tube. The tech washed the eye with water to treat some mild pain. No further treatment was administered. No impact to patient management or user safety was reported.
Patient Sequence No: 1, Text Type: D, B5


[11089764] (b)(4). Product evaluation is in process and the results will be submitted in a follow-up report.
Patient Sequence No: 1, Text Type: N, H10


[26383004] The customer was splashed in the eye while using the architect cyclosporine calibrator and whole blood precipitation kit. The package inserts and material safety data sheets for the products were reviewed and sufficient labeling precautions are provided to prevent such an incident. A deficiency was not identified as no adverse or non-statistical trends were identified related to this issue. Based on the evaluation results, no malfunction was identified to be related to this issue.
Patient Sequence No: 1, Text Type: N, H10


[32348323] Correction is added (common device name) and catalog #).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1415939-2013-00340
MDR Report Key3339634
Report Source01
Date Received2013-09-10
Date of Report2013-09-08
Date Mfgr Received2013-12-12
Date Added to Maude2013-11-18
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 Received2013-09-10
Catalog Number01L75-55
Lot NumberUNKNOWN
OperatorOTHER
Device AvailabilityY
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 2013-09-10

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