IMX SIROLIMUS REAGENT 5C91-21

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 2006-12-18 for IMX SIROLIMUS REAGENT 5C91-21 manufactured by Abbott Laboratories.

Event Text Entries

[541088] New studies have determined that imx sirolimus values may shift after storage at 23-8 degrees c or with freeze thaw of speciments. It has beendetermined that the observed changes are generally not clinically significant. A recall was issued and reproted under 21 cfr 806 to the fda on 12/18/06. Abbott has not received any reports of adverse events related to this issue.
Patient Sequence No: 1, Text Type: D, B5


[7986411] The properties of sirolimus in stored whole blood observed in development were not fully understood at the time; therefore, information regarding the analyte properties that were identified recently were not included in product labling for specimen collection and storage. The sirolimus package insert is being updated to provide new info regarding sample storage and handling. This is the final report.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1415939-2006-00075
MDR Report Key798228
Report Source07
Date Received2006-12-18
Date of Report2006-12-14
Date of Event2006-08-11
Date Mfgr Received2006-12-14
Date Added to Maude2006-12-27
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 Location0
Manufacturer ContactDR DAVID BARCH, D-09Y6, AP8C-2
Manufacturer Street100 ABBOTT PARK ROAD
Manufacturer CityABBOTT PARK, IL 600646092
Manufacturer CountryUS
Manufacturer Postal600646092
Manufacturer Phone8479379328
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionOT
Previous Use Code3
Removal Correction Number14159390-12/18/06-005-C
Event Type3
Type of Report3

Device Details

Brand NameIMX SIROLIMUS REAGENT
Generic NameMEIA FOR THE QUANTITATIVE DETERMINATION OF SIROLIMUS
Product CodeJJI
Date Received2006-12-18
Model NumberNA
Catalog Number5C91-21
Lot NumberNA
ID NumberNA
OperatorUNKNOWN
Device AvailabilityY
Device Eval'ed by MfgrY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key785761
ManufacturerABBOTT LABORATORIES
Manufacturer Address100 ABBOTT PARK RD. ABBOTT PARK IL 600643500 US
Baseline Brand NameO,X SORP;O,IS REAGEMT
Baseline Generic NameMEIA FOR THE QUANTITATIVE DETERMINATION OF SIROLIMUS
Baseline Model NoNA
Baseline Catalog No5C91-21
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
10 2006-12-18

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