ARCHITECT TOTAL PSA 06C06-27

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2018-12-21 for ARCHITECT TOTAL PSA 06C06-27 manufactured by Abbott Ireland.

Event Text Entries

[131381426] 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


[131381427] The customer observed a falsely elevated total psa result on the architect i1000sr aanlyzer. The following data was provided: sid (b)(4) initial 32. 64 ng/ml repeated 0. 12, 0. 14 and 0. 12. There was no impact to patient management reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008344661-2018-00110
MDR Report Key8188954
Report SourceHEALTH PROFESSIONAL
Date Received2018-12-21
Date of Report2019-02-07
Date of Event2018-12-06
Date Mfgr Received2019-02-06
Device Manufacturer Date2018-06-15
Date Added to Maude2018-12-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 IRELAND
Manufacturer StreetDIAGNOSTICS DIVISION FINISKLIN BUSINESS PARK
Manufacturer CitySLIGO NA
Manufacturer CountryEI
Manufacturer Postal CodeNA
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARCHITECT TOTAL PSA
Generic NameTOTAL PSA
Product CodeMTF
Date Received2018-12-21
Catalog Number06C06-27
Lot Number89009FN00
Device Expiration Date2019-06-05
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT IRELAND
Manufacturer AddressDIAGNOSTICS DIVISION FINISKLIN BUSINESS PARK SLIGO NA EI NA


Patients

Patient NumberTreatmentOutcomeDate
10 2018-12-21

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