ARCHITECT C16000 SYSTEM 03L77-01

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 2014-06-27 for ARCHITECT C16000 SYSTEM 03L77-01 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[4545663] The customer reports discrepant potassium assay results occurring intermittently since (b)(6) 2014 on the architect c16000 analyzer. One example was provided: an initial result of 6. 6 mmol/l that retested at 4. 5 mmol/l. No suspect results were reported from the lab with no patient impact. A service call was initiated.
Patient Sequence No: 1, Text Type: D, B5


[12140576] 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


[33486915] There were no returns made available from the customer site for this evaluation. An abbott field service engineer (fse) visited the customer site and after inspecting the analyzer identified the likely cause of the customer's issue to be the integrated chip technology (ict) pinch valve tubing, which was worn from normal use. The fse replaced the tubing. Subsequent instrument operations and test results were acceptable. 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 system operations manual contains information to address the customer's current issue. Based on the results of the current evaluation and observations from the customer site, a product malfunction was not identified. The device performs as intended when properly maintained and sample integrity/handling is appropriate.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1628664-2014-00125
MDR Report Key3899804
Report Source01,05
Date Received2014-06-27
Date of Report2014-06-10
Date of Event2014-06-05
Date Mfgr Received2014-07-14
Device Manufacturer Date2007-10-01
Date Added to Maude2014-07-17
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 MANUFACTURING INC
Manufacturer Street1921 HURD DRIVE
Manufacturer CityIRVING TX 75038
Manufacturer CountryUS
Manufacturer Postal Code75038
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARCHITECT C16000 SYSTEM
Generic NameAUTOMATED CHEMISTRY ANALYZER
Product CodeMZV
Date Received2014-06-27
Catalog Number03L77-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT MANUFACTURING INC
Manufacturer Address1921 HURD DRIVE IRVING TX 75038 US 75038


Patients

Patient NumberTreatmentOutcomeDate
10 2014-06-27

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