MAUDE MDR 4686408

MDR report key
4686408
Report number
1628664-2015-00133
Event key
0
Event type
3
Date received
2015-04-13
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
NOEMI ROMERO-KONDOS, RN BSN
Address
100 ABBOTT PARK ROAD DEPT. 09B9, LCCP1-3 ABBOTT PARK IL 60064 US
Phone
224-224-2246
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1TDXFLX SYSTEMAUTOMATED FLUORESCENT IMMUNOASSAY ANALYZERABBOTT MANUFACTURING INCJJQ04A24-01Y Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12015-04-130

Event Narratives#

D

Patient 1

THE CUSTOMER REPORTED A BURNT SMELL ACCOMPANIED BY VISIBLE SMOKE COMING FROM THE ABBOTT TDXFLX ANALYZER. NO INJURIES WERE REPORTED NOR ANY DAMAGE TO THE SURROUNDING LABORATORY ENVIRONMENT. THE POWER TO THE ANALYZER WAS TERMINATED AND THE POWER CORD PULLED FROM THE WALL OUTLET. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

N

Patient 1

(B)(4). THE CUSTOMER OBSERVED SMOKE FROM AROUND THE SPECIMEN CAROUSEL LOADING POSITION OF THE TDX/FLX ANALYZER. NO FIRE WAS OBSERVED AND NOTHING WAS SEEN TO HAVE BEEN BURNT. NO FURTHER ACTION WAS TAKEN TO REPAIR THE ANALYZER AS THE CUSTOMER HAS MOVED ALL TESTING TO THE ARCHITECT SYSTEM. AN ABBOTT FIELD SERVICE ENGINEER AT THE CUSTOMER SITE VERIFIED THE CUSTOMER ISSUE AND THAT THE ANALYZER WAS UNPLUGGED FROM THE POWER OUTLET. THE TDX/FLX ANALYZER HAS BEEN REMOVED FROM THE CUSTOMER SITE. A RETURN IS NOT REQUIRED FOR INVESTIGATION BASED ON COMPLAINT TRACKING AND TRENDING METRICS (ENCOMPASSING 45 MONTHS) WHICH FOUND NO ADVERSE TRENDS IN CONJUNCTION WITH THE COMPLAINT ISSUE CURRENTLY UNDER EVALUATION. THE TDX/FLX SYSTEM OPERATIONS MANUAL PROVIDES INFORMATION TO ADDRESS THE CURRENT CUSTOMER ISSUE. A REVIEW OF THE RESULTS OF THIS EVALUATION AND INFORMATION FROM THE CUSTOMER SITE REASONABLY SUGGESTS A MALFUNCTION OCCURRED, WHICH CAUSED THE CAROUSEL LOADING POSITION TO SMOKE. THE SPECIFIC SOURCE AND CAUSE OF THE SMOKE WERE NOT IDENTIFIED. A SYSTEMIC DEFICIENCY RELATING TO THIS ISSUE WAS NOT FOUND.