CELL-DYN 22 CALIBRATOR 99120-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2006-12-04 for CELL-DYN 22 CALIBRATOR 99120-01 manufactured by Abbott Diagnostics Division/celldyn.

Event Text Entries

[20508428] On-market instability for platelets with cell-dyn 22 calibrator lots 3098 and 3099 is being experienced. The calibrator could read higher by at least 10% on the cell-dyn ruby and as much as 22% on the cell-dyn 3200. If this calibrator is used and the calibration factor on the instrument is adjusted, a negative platelet sample bias could result. As a precaution, lot 3100 was also removed from use. A recall was issued and reported under 21 cfr 806 to the fda district office on 09/26/2006. Abbott has not received any reports of adverse events related to the affected lots of cell-dyn 22 calibrators.
Patient Sequence No: 1, Text Type: D, B5


[20810544] Investigation to determine the cause of the stability issue is ongoing. This is a final report.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2919069-2006-00118
MDR Report Key793883
Report Source07
Date Received2006-12-04
Date of Event2006-09-18
Date Added to Maude2006-12-14
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 Location0
Manufacturer ContactDR. DAVID BARCH, D-09Y6, AP6C-2
Manufacturer Street100 ABBOTT PARK RD
Manufacturer CityABBOTT PARK IL 600646092
Manufacturer CountryUS
Manufacturer Postal600646092
Manufacturer Phone8479379328
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction Number2919069-9/26/06-003-C
Event Type3
Type of Report3

Device Details

Brand NameCELL-DYN 22 CALIBRATOR
Generic NameCD22 CALIBRATOR
Product CodeKRZ
Date Received2006-12-04
Model NumberNA
Catalog Number99120-01
Lot NumberUNK
ID NumberNA
OperatorNOT APPLICABLE
Device AvailabilityY
Device Eval'ed by MfgrY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key781500
ManufacturerABBOTT DIAGNOSTICS DIVISION/CELLDYN
Manufacturer Address5440 PATRICK HENRY DR. SANTA CLARA CA 95054 US
Baseline Brand NameCELL-DYN 22 CALIBRATOR
Baseline Generic NameCD22 CALIBRATOR
Baseline Model NoNA
Baseline Catalog No99120-01
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
10 2006-12-04

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