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 2018-12-03 for ARCHITECT CEA 07K68-35 manufactured by Abbott Ireland.
[129599590]
An evaluation is in process. A follow-up report will be submitted when the evaluation is complete.
Patient Sequence No: 1, Text Type: N, H10
[129599591]
The customer observed falsely depressed results while using architect cea (carcinoembryonic antigen) reagents. The following data was provided for the same patient. Sid (b)(6) (tested (b)(6) 2018) initial 11. 36 ng/ml, repeat 10. 92 ng/ml. Previous results tested on (b)(6) 2018 were lower, sid (b)(6) initial 22. 94 ng/ml, repeat 23. 76 ng/ml. The patient was diagnosed with cancer; however, the specific cancer diagnosis was not provided. No adverse impact to patient management was reported
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3008344661-2018-00098 |
| MDR Report Key | 8126684 |
| Report Source | FOREIGN,HEALTH PROFESSIONAL |
| Date Received | 2018-12-03 |
| Date of Report | 2019-01-03 |
| Date of Event | 2018-11-09 |
| Date Mfgr Received | 2018-12-18 |
| Device Manufacturer Date | 2018-06-22 |
| Date Added to Maude | 2018-12-03 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 0 |
| 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 IRELAND |
| Manufacturer Street | DIAGNOSTICS DIVISION FINISKLIN BUSINESS PARK |
| Manufacturer City | SLIGO NA |
| Manufacturer Country | EI |
| Manufacturer Postal Code | NA |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ARCHITECT CEA |
| Generic Name | CARCINOEMBRYONIC ANTIGEN |
| Product Code | DHX |
| Date Received | 2018-12-03 |
| Catalog Number | 07K68-35 |
| Lot Number | 88478FN00 |
| Device Expiration Date | 2019-11-16 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | * |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ABBOTT IRELAND |
| Manufacturer Address | DIAGNOSTICS DIVISION FINISKLIN BUSINESS PARK SLIGO NA EI NA |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-12-03 |