ARCHITECT SYPHILIS TP 08D06-29

MAUDE Adverse Event Report

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 2018-12-13 for ARCHITECT SYPHILIS TP 08D06-29 manufactured by Abbott Germany.

Event Text Entries

[131545022] A review of tickets determined no increase in complaint activity for lots: 86151li00 and 89366li00, and no trends were identified. The returned sample was tested with lot 89366li00, as the complaint lot: 86151li00 was not available, and (b)(6) results of (b)(6) were obtained. Sensitivity testing was performed on the returned sample with a retained kit of lot: 89366li00 with mikrogen recomline treponema igm/igg. The mikrogen recomline treponema igg showed a borderline, and mikrogen recomline treponema igm showed a (b)(6) result for the sample. Retained reagent kits of lot number 86151li00 and 89366li00 were previously tested in a sensitivity setup, including additional replicates of a sensitivity panel. Results of this setup did not show that the performance of the lots are negatively impacted. No (b)(6) results were obtained. A review of the manufacturing documentation did not identify any issues associated with the customer's observation. A review of labeling concluded that the issue is adequately addressed. Based on the investigation no product deficiency was identified for architect syphilis, lots: 86151li00 and 89366li00.
Patient Sequence No: 1, Text Type: N, H10


[131545023] The customer reported (b)(6) architect syphilis results on one patient. The results provided were: architect = (b)(6)/roche, elisa, and tppa results are (b)(6). There was no reported impact to patient management.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3002809144-2018-00548
MDR Report Key8161991
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2018-12-13
Date of Report2018-12-13
Date of Event2018-10-11
Date Mfgr Received2018-11-29
Device Manufacturer Date2018-06-27
Date Added to Maude2018-12-13
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 G1ABBOTT GERMANY
Manufacturer StreetMAX-PLANCK-RING 2
Manufacturer CityWIESBADEN 65205
Manufacturer CountryGM
Manufacturer Postal Code65205
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARCHITECT SYPHILIS TP
Generic NameSYPHILIS
Product CodeMTN
Date Received2018-12-13
Catalog Number08D06-29
Lot Number89366LI00
Device Expiration Date2019-05-22
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT GERMANY
Manufacturer AddressMAX-PLANCK-RING 2 WIESBADEN 65205 GM 65205


Patients

Patient NumberTreatmentOutcomeDate
10 2018-12-13

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