ARCHITECT SIROLIMUS 01L76-25

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-08-26 for ARCHITECT SIROLIMUS 01L76-25 manufactured by Abbott Laboratories.

Event Text Entries

[54149757] An evaluation is in process. A follow-up report will be submitted when the evaluation is complete.
Patient Sequence No: 1, Text Type: N, H10


[54149760] The customer stated that patients being treated with everolimus test positive for sirolimus on the architect analyzer. On (b)(6) 2016 a patient being treated with everolimus generated a positive sirolimus result by architect, but a result of <0. 9ng/ml on the uplc mass spec. There was no reported impact to patient management. There was no additional patient information provided.
Patient Sequence No: 1, Text Type: D, B5


[55734490] The investigation of the customer issue included a review of complaint text, a search for similar complaints, and a review of labeling. The customer observed a falsely elevated sirolimus result, while using architect sirolimus, list 1l76-25 lot 50170m500, on patients being treated with everolimus. A review of complaints for lot 50170m500 did not indicate any similar issue or trend. There was no patient sample available to assist in the investigation. A review of the sirolimus assay product labeling shows adequate information regarding testing and regarding limitations and performance of the assay. The information in the complaint text does not reasonably suggest a malfunction since an everolimus sample was purposely tested on the architect sirolimus assay. Based on the investigation the architect sirolimus reagent, lot 50170m500, is performing as intended and no product issues or malfunctions were identified.
Patient Sequence No: 1, Text Type: N, H10


[76838178] The device evaluation was reassessed and concluded that a malfunction occurred, therefore the device was not performing as intended, and conclusions code was corrected in evaluation codes from (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1415939-2016-00089
MDR Report Key5906437
Date Received2016-08-26
Date of Report2017-05-22
Date of Event2016-08-02
Date Mfgr Received2017-05-22
Device Manufacturer Date2015-10-01
Date Added to Maude2016-08-26
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 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 LABORATORIES
Manufacturer Street100 ABBOTT PARK ROAD
Manufacturer CityABBOTT PARK IL 600643500
Manufacturer CountryUS
Manufacturer Postal Code600643500
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARCHITECT SIROLIMUS
Generic NameSIROLIMUS
Product CodeNRP
Date Received2016-08-26
Catalog Number01L76-25
Lot Number50170M500
Device Expiration Date2017-02-03
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT LABORATORIES
Manufacturer Address100 ABBOTT PARK ROAD ABBOTT PARK IL 600643500 US 600643500


Patients

Patient NumberTreatmentOutcomeDate
10 2016-08-26

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