AXSYM AMPHETAMINE/METHAMPHETAMINE II 3D54-08

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04,05 report with the FDA on 2008-02-05 for AXSYM AMPHETAMINE/METHAMPHETAMINE II 3D54-08 manufactured by Abbott Laboratories.

Event Text Entries

[22081210] The customer stated software error 002 in task 40 occurred on the axsym analyzer after installing drugs of abuse/toxicology assay disk version 8. 0. The customer edited the cutoff parameters and attempted to run the amphetamine assay. The customer was instructed to reinstall the assay disk and rerun the samples without changing the cutoff parameters. No impact to pt management was reported.
Patient Sequence No: 1, Text Type: D, B5


[22115741] This is an initial report. An investigation is in progress. A final report will be submitted when the investigation is completed.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1415939-2008-00021
MDR Report Key991058
Report Source04,05
Date Received2008-02-05
Date of Report2008-01-15
Date of Event2008-01-04
Date Mfgr Received2008-01-15
Date Added to Maude2008-08-05
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 ContactSUDARSHAN HEBBAR, MD, D-3MQC, AP6B
Manufacturer Street100 ABBOTT PARK RD.
Manufacturer CityABBOTT PARK IL 600646112
Manufacturer CountryUS
Manufacturer Postal600646112
Manufacturer Phone8479379677
Single Use3
Remedial ActionOT
Previous Use Code3
Removal Correction Number1415939-2/01/08-001-C
Event Type3
Type of Report3

Device Details

Brand NameAXSYM AMPHETAMINE/METHAMPHETAMINE II
Generic NameAMPHETAMINE TEST SYSTEM
Product CodeDKZ
Date Received2008-02-05
Model NumberNA
Catalog Number3D54-08
Lot NumberNA
ID NumberVERSION 8.0
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key992343
ManufacturerABBOTT LABORATORIES
Manufacturer Address100 ABBOTT PARK RD. ABBOTT PARK IL 600643500 US


Patients

Patient NumberTreatmentOutcomeDate
10 2008-02-05

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