IMMAGE C-REACTIVE PROTEIN REAGENT 447280

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2008-01-07 for IMMAGE C-REACTIVE PROTEIN REAGENT 447280 manufactured by Beckman Coulter, Inc..

Event Text Entries

[15441274] During an internal study at beckman coulter inc. (bci) manufacturing center in carlsbad, it was discovered that image c-reactive protein (crp) reagent lots made with seradyn latex exhibit a hook effect. Further investigation revealed that 4 crp reagent lots are affected (3 released and 1 in-process) and the hook effect is exhibited between 36 and 64 mg/dl, and the reported recovery drops off to approx 3-7mg/dl. No affect to pt treatment or lab personnel was reported as this event was discovered in house and no pt results were reported from this lab.
Patient Sequence No: 1, Text Type: D, B5


[15655980] Additional lot #s: m709279 and m709319. Add'l expiration dates: 10/31/2009 and 11/30/2009. Add'l mfr dates: 10/29/2007 and 11/15/2007. Bci recently validated a switch from merck latex to seradyn latex. To confirm the finding, 2 merck latex crp lots and all 4 seradyn latex crp lots were used to assay samples that gradually ranged upward from 35 to 65 mg/dl. The 4 seradyn lots begin to hook down to approx 3-7 mg/dl somewhere between 36-65mg/dl. Both merck lots recovered correct values for all samples up through 65 mg/dl. In addition, it was noted that crp reagent with seradyn latex lot number 1450 hooks at a much lower level than does crp reagent with seradyn latex lot number 112161. Crp reagent is intended for the quantitative determination of crp in human serum or plasma by rate nephelometry and the measurement aids in evaluation of stress, trauma, infection, inflammation, and surgery. A capa has been opened to determine the root cause of the issue. Bci will initiate a product corrective action (pca) regarding this issue.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2050012-2008-00001
MDR Report Key976703
Report Source05
Date Received2008-01-07
Date of Report2008-01-08
Date of Event2007-12-12
Date Mfgr Received2007-12-12
Device Manufacturer Date2007-09-17
Date Added to Maude2008-09-29
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 FDA0
Event Location0
Manufacturer ContactANNE SABER, PHD, DIRECTOR
Manufacturer Street11800 SW 147TH AVE MAILSTOP 31-B06
Manufacturer CityMIAMI FL 33196
Manufacturer CountryUS
Manufacturer Postal33196
Manufacturer Phone3053802618
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameIMMAGE C-REACTIVE PROTEIN REAGENT
Generic NameNA
Product CodeDCK
Date Received2008-01-07
Model NumberNA
Catalog Number447280
Lot NumberM705441
Device Expiration Date2009-08-31
OperatorHEALTH PROFESSIONAL
Device AgeDA
Device Eval'ed by Mfgr*
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key985862
ManufacturerBECKMAN COULTER, INC.
Manufacturer Address200 SOUTH KRAEMER BLVD. BREA CA 92822 US


Patients

Patient NumberTreatmentOutcomeDate
10 2008-01-07

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