ARCHITECT PROLACTIN 07K76-25

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 2017-05-04 for ARCHITECT PROLACTIN 07K76-25 manufactured by A.i.d.d Longford.

Event Text Entries

[74489438] Investigation of the customer issue included a review of the complaint text, a search for similar complaints, and a review of labeling. Return material was not available. 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 prolactin reagent list number 07k76, lot number 58834ui00, was not identified.
Patient Sequence No: 1, Text Type: N, H10


[74489439] The customer observed elevated prolactin results while using the architect prolactin assay compared to results generated using the centaur method. The customer provided the following data: architect results: 191. 27; centaur result: 26. 40. No adverse impact to patient management was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005094123-2017-00019
MDR Report Key6543960
Report SourceHEALTH PROFESSIONAL
Date Received2017-05-04
Date of Report2017-05-04
Date of Event2016-05-10
Date Mfgr Received2017-04-13
Device Manufacturer Date2015-11-06
Date Added to Maude2017-05-04
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 G1A.I.D.D LONGFORD
Manufacturer StreetLISNAMUCK CO. LONGFORD
Manufacturer CityLONGFORD NA
Manufacturer CountryEI
Manufacturer Postal CodeNA
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARCHITECT PROLACTIN
Generic NamePROLACTIN
Product CodeCFT
Date Received2017-05-04
Catalog Number07K76-25
Lot Number58834UI00
Device Expiration Date2016-10-05
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerA.I.D.D LONGFORD
Manufacturer AddressLISNAMUCK CO. LONGFORD LONGFORD NA EI NA


Patients

Patient NumberTreatmentOutcomeDate
10 2017-05-04

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