MAUDE Adverse Event Report: ABBOTT IRELAND DIAGNOSTICS DIVISION ARCHITECT FREE T4 REAGENT KIT; RADIOIMMUNOASSAY, FREE THYROXINE

Catalog Number 07K65-78

Device Problem High Test Results (2457)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 02/27/2024

Event Type  malfunction  

Manufacturer Narrative

All available patient information was included, no additional patient information was available.An evaluation is in process.A follow-up report will be submitted when the evaluation is complete.

Event Description

The customer observed falsely elevated architect free t4(ft4) results on three patients.The following data was provided.Sid 1: initial result 1.58 ng/dl, repeat results 1.38 ng/dl & 1.2 ng/dl.Sid 2: initial result 1.85 ng/dl, repeat results 1.34 ng/dl & 1.13 ng/dl.Sid 3: initial result 1.49 ng/dl & repeat results 1.49 ng/dl & 1.24 ng/d.The customer uses reference range 0.7-1.48 ng/dl, there was no reported impact to patient management.

Manufacturer Narrative

D4: primary udi number updated from (b)(4) to (b)(4).Section h4: device mfg date was updated from: 7/9/2023 to 07/29/2023.All available patient information was included, no additional patient information was available.The complaint evaluation included a review of data and information provided by the customer, search for similar complaints, ticket trending review, labeling review, device history record review and in-house testing for architect free t4 reagent lot: 53725ud03.There was an increase in complaint activity, however, no related trends were identified.Additionally, in-house performance testing was completed which indicates the product is performing as expected.Return testing was not completed as returns were not available.Device history record review did not identify any non-conformances or deviations with the complaint lot and complaint issue.A review of labeling concluded that the issue is sufficiently addressed.A manufacturing documentation for the likely cause lot did not identify any issues associated with the complaint issue.Based on the investigation no product deficiency was identified for the architect free t4 reagent lot: 53725ud03.

Event Description

The customer observed falsely elevated architect free t4(ft4) results on three patients.The following data was provided.Sid 1: initial result 1.58 ng/dl and repeat results 1.38 ng/dl and 1.2 ng/dl; sid 2: initial result 1.85 ng/dl and repeat results 1.34 ng/dl and 1.13 ng/dl; sid 3: initial result 1.49 ng/dl and repeat results 1.49 ng/dl and 1.24 ng/dl.The customer uses reference range 0.7-1.48 ng/dl, there was no reported impact to patient management.

• Brand Name: ARCHITECT FREE T4 REAGENT KIT
• Type of Device: RADIOIMMUNOASSAY, FREE THYROXINE
• Manufacturer (Section D): ABBOTT IRELAND DIAGNOSTICS DIVISION; lisnamuck; co. longford; longford N39E9 32; EI N39E932
• Manufacturer (Section G): ABBOTT IRELAND DIAGNOSTICS DIVISION; lisnamuck; co. longford; longford N39E9 32; EI N39E932
• Manufacturer Contact: nicole jenne ; max-planck-ring 2; post market surveillance; wiesbaden 65205 ; GM 65205 ; 6122582960
• MDR Report Key: 18836981
• MDR Text Key: 337109766
• Report Number: 3005094123-2024-00092
• Device Sequence Number: 1
• Product Code: CEC
• UDI-Device Identifier: 380740173685
• UDI-Public: (01)380740173685(17)240629(10)53725UD03
• Combination Product (y/n): N
• Reporter Country Code: CH
• PMA/PMN Number: K173122
• Number of Events Reported: 1
• 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: 05/03/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 03/05/2024
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Catalogue Number: 07K65-78
• Device Lot Number: 53725UD03
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 05/02/2024
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 07/29/2023
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Unknown
• Patient Sequence Number: 1
• Treatment: ARC I2000SR INST, 03M74-02, (B)(6); ARC I2000SR INST, 03M74-02, (B)(6)