HIVAB HIV-1/HIV-2 (RDNA) EIA 3A77-90

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04,07 report with the FDA on 2008-01-23 for HIVAB HIV-1/HIV-2 (RDNA) EIA 3A77-90 manufactured by Abbott Laboratories.

Event Text Entries

[814132] The customer stated there had been 8 quality control failures for hiv 1/2 (rdna) eia on the commander ppc over a 10 day time period. Positive control 1 and positive control 2 had been out of range low and the negative control had been aberrant. Technicians observed no color in the positive controls when opd was added. Upon repeat, quality control results would be in range. There was no report of incorrect pt results or impact to pt management.
Patient Sequence No: 1, Text Type: D, B5


[7936184] This is an initial report. An investigation is in process. A final report will be submitted when the investigation is complete.
Patient Sequence No: 1, Text Type: N, H10


[18492974] The company was informed that the pt underwent surgery for pe tube placement in 2009. Advanced bionics is in the process of gathering more info. Once more info becomes available, a supplemental report will be submitted.
Patient Sequence No: 1, Text Type: D, B5


[18596036] (b)(4) an investigation was completed and identified that the bead component of the assay is linked to the controls out of range issue. In order to mitigate this issue, additional modes of control in the manufacturing process are being evaluated.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1415939-2008-00009
MDR Report Key983495
Report Source04,07
Date Received2008-01-23
Date of Report2007-12-27
Date of Event2007-12-04
Date Mfgr Received2009-12-17
Device Manufacturer Date2007-08-01
Date Added to Maude2010-01-14
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 ContactDR. NOEMI KONDOS RN, BSN
Manufacturer Street200 ABBOTT PARK ROAD DEPT. 09B9, AP50
Manufacturer CityABBOTT PARK IL 600643537
Manufacturer CountryUS
Manufacturer Postal600643537
Manufacturer Phone8479375120
Manufacturer G1ABBOTT LABORATORIES
Manufacturer Street100 ABBOTT PARK ROAD
Manufacturer CityABBOTT PARK IL 60064350
Manufacturer CountryUS
Manufacturer Postal Code60064 3500
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHIVAB HIV-1/HIV-2 (RDNA) EIA
Generic NameIN VITRO DIAGNOSTIC TEST FOR THE DETECTION OF HIV-1 AND HIV-2 ANTIBODIES
Product CodeLRM
Date Received2008-01-23
Model NumberNA
Catalog Number3A77-90
Lot Number56099M201
ID NumberNA
Device Expiration Date2008-01-10
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerABBOTT LABORATORIES
Manufacturer Address100 ABBOTT PARK ROAD ABBOTT PARK IL 60064350 US 60064 3500


Patients

Patient NumberTreatmentOutcomeDate
10 2008-01-23

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