CREATININE 03L81-22

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 2019-04-17 for CREATININE 03L81-22 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[142346956] The information provided and troubleshooting performed by the customer was reviewed. The customer repeated the sample on the same and alternate architect analyzer and obtained 0. 8 mg/dl. In addition, the customer did precision studies using quality control material that met the package insert precision claim. The customer also performed 6052 wash cuvette maintenance, qc was within range and the assay is performing within assay insert claims. Ticket searches for lot 55733un18 did not identify any other complaints. Tracking and trending report review for the architect creatinine assay did not identify any trends associated with the complaint issue. Manufacturing documentation for the likely cause lot was reviewed and did not identify any issues. Labeling was reviewed and sufficiently addresses the customer's issue. No systemic issue or deficiency of the architect creatinine assay was identified.
Patient Sequence No: 1, Text Type: N, H10


[142346957] The customer reported a falsely elevated architect creatinine result. The sample generated an initial result of 14. 6 mg/dl and retest on the original and alternate analyzer generated 0. 8 mg/dl. No impact to patient management was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1628664-2019-00313
MDR Report Key8524692
Report SourceHEALTH PROFESSIONAL
Date Received2019-04-17
Date of Report2019-04-17
Date Mfgr Received2019-03-28
Device Manufacturer Date2019-01-28
Date Added to Maude2019-04-17
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 MANUFACTURING INC
Manufacturer Street1921 HURD DRIVE
Manufacturer CityIRVING TX 75038
Manufacturer CountryUS
Manufacturer Postal Code75038
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCREATININE
Generic NameCREATININE
Product CodeCGX
Date Received2019-04-17
Catalog Number03L81-22
Lot Number55733UN18
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT MANUFACTURING INC
Manufacturer Address1921 HURD DRIVE IRVING TX 75038 US 75038


Patients

Patient NumberTreatmentOutcomeDate
10 2019-04-17

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