ARCHITECT ICARBAMAZEPINE 01P36-27

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2017-04-27 for ARCHITECT ICARBAMAZEPINE 01P36-27 manufactured by Abbott Germany.

Event Text Entries

[74146455] Lot/serial number was manufactured prior to udi compliance date; therefore, only a di is provided. Investigation of the customer issue included a review of the complaint text, review of validated instrument data analytics, batch record review, a search for similar complaints, and a review of labeling. Return material was not available. No upshift of the median value could be observed for the complaint lot. The batch record review did not identify any non-conformances or deviations. Tracking and trending did not identify an adverse trend. Labeling was reviewed and found to be adequate. Based on the available information a product deficiency of the architect icarbamazepine reagent, list number 01p36, lot number 60736li00 was not identified.
Patient Sequence No: 1, Text Type: N, H10


[74146456] The customer observed falsely elevated carbamazepine results while using the architect carbamazepine assay. Therapeutic range 4. 0 - 12. 0ug/ml, >20. 0ug/ml toxic. The customer provided the following results (ug/ml): sid (b)(6): (b)(6) 2016: initial > 15 (flagged result), retested (1:4 dilution) 50. 40. Retested using new reagent pack: 10. 61. No impact to patient management was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3002809144-2017-00047
MDR Report Key6525467
Report SourceHEALTH PROFESSIONAL
Date Received2017-04-27
Date of Report2017-04-27
Date of Event2016-08-21
Date Mfgr Received2017-04-10
Device Manufacturer Date2016-01-18
Date Added to Maude2017-04-27
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 GERMANY
Manufacturer StreetMAX-PLANCK-RING 2
Manufacturer CityWIESBADEN 65205
Manufacturer CountryGM
Manufacturer Postal Code65205
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARCHITECT ICARBAMAZEPINE
Generic NameCARBAMAZEPINE
Product CodeKLT
Date Received2017-04-27
Catalog Number01P36-27
Lot Number60736LI00
Device Expiration Date2016-12-17
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT GERMANY
Manufacturer AddressMAX-PLANCK-RING 2 WIESBADEN 65205 GM 65205


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-27

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