ARCHITECT CYCLOSPORINE 01L75-25

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 2019-03-28 for ARCHITECT CYCLOSPORINE 01L75-25 manufactured by Abbott Laboratories.

Event Text Entries

[145247857] An evaluation is in process. A follow-up report will be submitted when the evaluation is complete. All available patient information has been provided.
Patient Sequence No: 1, Text Type: N, H10


[145247858] The customer reported false decreased cyclosporine results when processing on the architect i2000sr. The following data was provided: the first patient result had an initial result of 101. 10 and a retest result of 62. 00. Another patient result (sid (b)(6)) had an initial result of 70. 30 and retest result of 39. 90. Units of measure were not provided. No impact to patient management was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1415939-2019-00018
MDR Report Key8462709
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2019-03-28
Date of Report2019-05-15
Date Mfgr Received2019-05-01
Device Manufacturer Date2018-11-01
Date Added to Maude2019-03-28
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 LABORATORIES
Manufacturer Street100 ABBOTT PARK ROAD
Manufacturer CityABBOTT PARK IL 600643500
Manufacturer CountryUS
Manufacturer Postal Code600643500
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARCHITECT CYCLOSPORINE
Generic NameCYCLOSPORINE
Product CodeMKW
Date Received2019-03-28
Catalog Number01L75-25
Lot Number93003M800
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerABBOTT LABORATORIES
Manufacturer Address100 ABBOTT PARK ROAD ABBOTT PARK IL 600643500 US 600643500


Patients

Patient NumberTreatmentOutcomeDate
10 2019-03-28

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