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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT IRELAND ARCHITECT AFP REAGENT KIT; KIT, TEST, ALPHA-FETOPROTEIN FOR NEURAL TUBE DEFECTS

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ABBOTT IRELAND ARCHITECT AFP REAGENT KIT; KIT, TEST, ALPHA-FETOPROTEIN FOR NEURAL TUBE DEFECTS Back to Search Results
Catalog Number 03P36-78
Device Problem High Test Results (2457)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/01/2023
Event Type  malfunction  
Event Description
The customer reported a falsely elevated architect afp result for a male patient with unknown clinical history.The initial afp result was 65 ng/ml and when retested generated a result of 16.92 ng/ml (reference range is < 13.6 ng/ml).There was no impact to patient management reported.
 
Manufacturer Narrative
All available patient information was included.Additional patient details are not available.An evaluation is in process.A follow-up report will be submitted when the evaluation is complete.
 
Manufacturer Narrative
The complaint investigation for false elevated architect afp results included a search for similar complaints, and the review of complaint text, trending data, labeling, and device history records.Return testing was not performed as returns were not available.Data and information provided by the customer confirm the complaint issue without indication for any additional issue identified.A ticket search by lot number indicates the product lot is performing as expected.A review of tracking and trending data for the product did not identify any commonalities regarding the lot number 43036fn00 and complaint issue.No related trends were identified.A review of the device history record did not identify any potential non-conformances, deviations, or non-conformances for the associated lot number 43036fn00 and complaint issue.Accuracy testing was performed using an in-house retained kit of the complaint lot 43036fn00.Testing met acceptance criteria and the product is performing as expected.Labeling was reviewed and adequately addresses the issue under review.Based on the investigation, no systemic issue or product deficiency was identified for architect afp reagent lot 43036fn00.Correction to d4 - catalog no: initial: 03p36-74 / corrected: 03p36-78.
 
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Brand Name
ARCHITECT AFP REAGENT KIT
Type of Device
KIT, TEST, ALPHA-FETOPROTEIN FOR NEURAL TUBE DEFECTS
Manufacturer (Section D)
ABBOTT IRELAND
finisklin business park
sligo F91VY 44
EI  F91VY44
Manufacturer (Section G)
ABBOTT IRELAND
finisklin business park
sligo F91VY 44
EI   F91VY44
Manufacturer Contact
siobhan wright
lisnamuck
post market surveillance
longford N39 E-932
EI   N39 E932
433331157
MDR Report Key16374181
MDR Text Key309593289
Report Number3008344661-2023-00038
Device Sequence Number1
Product Code LOK
Combination Product (y/n)N
Reporter Country CodeCH
PMA/PMN Number
P120008
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 04/07/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/14/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date07/25/2023
Device Catalogue Number03P36-78
Device Lot Number43036FN00
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received03/31/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured08/19/2022
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
ARC I2000SR INST, 03M74-02, ISR63789.; ARC I2000SR INST, 03M74-02, ISR63789.
Patient SexMale
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