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 foreign,health professional report with the FDA on 2016-05-24 for ARCHITECT C16000 SYSTEM 03L77-01 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[45858296] 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


[45858297] The customer observed falsely elevated lithium results on the architect c16000 analyzer. The following data was provided sid (b)(4) initial 2. 252, repeat 0. 675, 0. 699 mmol/l. There was no impact to patient management reported.
Patient Sequence No: 1, Text Type: D, B5


[47337732] Additional data was provided on (b)(6) 2016. An evaluation is still in process. A follow up report will be submitted when the evaluation is complete. (b)(4). An evaluation is still in process.
Patient Sequence No: 1, Text Type: N, H10


[47337733] On (b)(6) 2016, the customer observed additional falsely elevated lithium results on the architect c16000 analyzer. The following data was provided: (b)(6). There was no impact to patient management reported.
Patient Sequence No: 1, Text Type: D, B5


[48932797] Further investigation of the customer issue included a review of the complaint text, a search for similar complaints, review of instrument logs, a review of labeling and instrument service. No adverse trend was identified for the customer's issue. Labeling was reviewed and found to be adequate. The issue was resolved through standard troubleshooting procedure, the field service representative replaced the worn out tubing, r1a pipettor inner (rohs) and adjusted the reagent/mixer cup flow rates. Based on all available information and abbott diagnostics' complaint investigation, the analyzer performed as intended and no product deficiency was identified.
Patient Sequence No: 1, Text Type: N, H10


[73920900] The device evaluation was reassessed and concluded that a malfunction of the tubing, r1a pipettor inner (rohs) was identified, therefore, the device was not performing as intended, however, no systemic issue or product deficiency was identified.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1628664-2016-00128
MDR Report Key5676851
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2016-05-24
Date of Report2017-04-14
Date Mfgr Received2017-04-13
Date Added to Maude2016-05-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
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 Phone224667-512
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 Sequence Number: 0

Brand NameARCHITECT C16000 SYSTEM
Generic NameAUTOMATED CHEMISTRY ANALYZER
Product CodeNDW
Date Received2016-05-24
Catalog Number03L77-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerABBOTT MANUFACTURING INC
Manufacturer Address1921 HURD DRIVE IRVING TX 75038 US 75038

Device Sequence Number: 1

Brand NameARCHITECT C16000 SYSTEM
Generic NameAUTOMATED CHEMISTRY ANALYZER
Product CodeJJE
Date Received2016-05-24
Catalog Number03L77-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerABBOTT MANUFACTURING INC
Manufacturer Address1921 HURD DRIVE IRVING TX 75038 US 75038


Patients

Patient NumberTreatmentOutcomeDate
10 2016-05-24

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