ABBOTT HCV EIA 2.0 4A14-24

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2001-10-04 for ABBOTT HCV EIA 2.0 4A14-24 manufactured by Abbott Laboratories.

Event Text Entries

[17821747] The account generated an initially negative hcv eia 2. 0 result. After reviewing the run data, the account noticed the absorbance values were depressed on the controls. The entire run was repeated with freshly made conjugate. The sample tested reactive with the freshly made conjugate. The sample was tested again in duplicate with repeatedly reactive results. According to the account's quality control absorbance results, the initial run should have been rejected, but all run absorbances were within abbott's acceptable parameters. No additional testing was performed on sample. No impact to patient management was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1415939-2001-00002
MDR Report Key355470
Report Source06
Date Received2001-10-04
Date of Report2001-10-03
Date of Event2001-08-31
Date Mfgr Received2001-09-04
Device Manufacturer Date2001-04-01
Date Added to Maude2001-10-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactPAUL LANDESMAN, D-09D5, AP6C-6
Manufacturer Street100 ABBOTT PARK ROAD
Manufacturer CityABBOTT PARK IL 600643500
Manufacturer CountryUS
Manufacturer Postal600643500
Manufacturer Phone8479372688
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameABBOTT HCV EIA 2.0
Generic NameEIA FOR DETECTION OF HCV ANTIBODY
Product CodeLQI
Date Received2001-10-04
Model NumberNA
Catalog Number4A14-24
Lot Number76552M101
ID NumberNA
Device Expiration Date2001-11-08
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key344689
ManufacturerABBOTT LABORATORIES
Manufacturer Address100 ABBOTT PARK ROAD ABBOTT PARK IL 600643500 US
Baseline Brand NameABBOTT HCV EIA 2.0
Baseline Generic NameEIA FOR DETECTION OF HCV ANTIBODY
Baseline Model NoNA
Baseline Catalog No4A14-24
Baseline IDNA
Baseline Device FamilyABBOTT HCV EIA 2.0
Baseline Shelf Life ContainedN
Baseline Shelf Life [Months]12
Baseline PMA FlagN
Baseline 510K PMNN
Baseline PreamendmentN
Baseline TransitionalN
510k ExemptN


Patients

Patient NumberTreatmentOutcomeDate
10 2001-10-04

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