MAUDE MDR 8188954

MDR report key
8188954
Report number
3008344661-2018-00110
Event key
0
Event type
3
Date of event
2018-12-06
Date received
2018-12-21
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
NOEMI ROMERO-KONDOS, RN BSN
Address
100 ABBOTT PARK ROAD DEPT. 09B9, LCCP1-3 ABBOTT PARK IL 60064 US
Phone
224-224-2246
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ARCHITECT TOTAL PSATOTAL PSAABBOTT IRELANDMTF06C06-2789009FN00Y Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-12-210

Event Narratives#

N

Patient 1

AN EVALUATION IS IN PROCESS. A FOLLOW UP REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

D

Patient 1

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.