TDX/TDXFLX METHOTREXATE II 7A12-60

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2007-04-10 for TDX/TDXFLX METHOTREXATE II 7A12-60 manufactured by Abbott Diagnostics International, Ltd..

Event Text Entries

[712698] Through complaint investigation, we confirmed that there was an issue with the kit configuration for lot 45050q100. Each 100-test kit should contain 4 bottles configured as w-s-t-p. The complaint investigation showed the kits were configured incorrectly as s-w-t-p. When customers use a tdx/tdxflx methotrexate ii reagent lot 45050q100 with the bottles w and s in the incorrect order (s-w-t-p), pt results may be falsely increased or decreased, controls will run out of range, and a calibration curve cannot be generated. A recall was issued and reported to the fda district on april 2, 2007. Abbott has not received any reports of adverse events related to this issue.
Patient Sequence No: 1, Text Type: D, B5


[8120692] This is the final report.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2623532-2007-00001
MDR Report Key935467
Report Source07
Date Received2007-04-10
Date of Event2007-03-20
Device Manufacturer Date2006-10-01
Date Added to Maude2007-11-01
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 Location0
Manufacturer ContactDR. DAVID BARCH, D-09Y6, AP6C-2
Manufacturer Street100 ABBOTT PARK ROAD
Manufacturer CityABBOTT PARK IL 600646092
Manufacturer CountryUS
Manufacturer Postal600646092
Manufacturer Phone8479379328
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionRL
Previous Use Code3
Removal Correction Number2623532-40207-001C
Event Type3
Type of Report3

Device Details

Brand NameTDX/TDXFLX METHOTREXATE II
Generic NameFPIA FOR THE QUANTITATIVE MEASUREMENT OF METHOTREXATE
Product CodeLAO
Date Received2007-04-10
Model NumberNA
Catalog Number7A12-60
Lot Number45050Q100
ID NumberNA
Device Expiration Date2008-01-01
OperatorNOT APPLICABLE
Device AvailabilityY
Device Eval'ed by MfgrY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key907525
ManufacturerABBOTT DIAGNOSTICS INTERNATIONAL, LTD.
Manufacturer AddressKM 58.0, CARRETERA 2 CRUCE DAVILA BARCELONETA PR 00617 US


Patients

Patient NumberTreatmentOutcomeDate
10 2007-04-10

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