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 2018-07-16 for PRISM 6 CHANNEL ANALYZER 06A36-04 manufactured by Abbott Manufacturing Inc.
[114159715]
All available patient information was included. Additional patient details are not available. An evaluation is in process. A final report will be submitted when the evaluation is complete. Concomitant medical products: prism tray ln05a07-01, lots 83020m500; 85076m500 prism (b)(6) ln 06a52-48, lot 84277li00.
Patient Sequence No: 1, Text Type: N, H10
[114159716]
The customer reported (b)(6) prism (b)(6) results for multiple samples on the prism analyzer while using a new lot of prism (b)(6) trays. The customer provided the following examples (first result is with tray lot 83020m500, repeat result on 85077m500 and prism sn (b)(4)): sample 1: 0. 99 s/co, repeat 1. 03 s/co; sample 2: 0. 83 s/co, repeat 1. 03 s/co; sample 3: 0. 99 s/co, repeat 1. 09 s/co. The retest results match the clinical presentation of the patient. No adverse impact to donor management was reported.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1628664-2018-00271 |
| MDR Report Key | 7690949 |
| Report Source | FOREIGN,HEALTH PROFESSIONAL |
| Date Received | 2018-07-16 |
| Date of Report | 2018-11-08 |
| Date Mfgr Received | 2018-11-07 |
| Date Added to Maude | 2018-07-16 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | NOEMI ROMERO-KONDOS, RN BSN |
| Manufacturer Street | 100 ABBOTT PARK ROAD DEPT. 09B9, LCCP1-3 |
| Manufacturer City | ABBOTT PARK IL 600643537 |
| Manufacturer Country | US |
| Manufacturer Postal | 600643537 |
| Manufacturer Phone | 224667-512 |
| Manufacturer G1 | ABBOTT MANUFACTURING INC |
| Manufacturer Street | 1921 HURD DRIVE |
| Manufacturer City | IRVING TX 75038 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 75038 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PRISM 6 CHANNEL ANALYZER |
| Generic Name | AUTOMATED IMMUNOASSAY ANALYZER |
| Product Code | MZA |
| Date Received | 2018-07-16 |
| Catalog Number | 06A36-04 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ABBOTT MANUFACTURING INC |
| Manufacturer Address | 1921 HURD DRIVE IRVING TX 75038 US 75038 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-07-16 |