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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT IRELAND ARCHITECT AFP; ALPHA-FETOPROTEIN

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ABBOTT IRELAND ARCHITECT AFP; ALPHA-FETOPROTEIN Back to Search Results
Catalog Number 07P90-21
Device Problem High Test Results (2457)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Type  malfunction  
Manufacturer Narrative
All available patient information was included.Additional patient details are not available.This event is being filed on an international product (list 7p90), that has a similar us product, list 3p36.This event is also being filed under a second suspect medical device (list 8p32), under manufacturer report number 3002809144-2019-00271.An evaluation is in process.A follow-up report will be submitted when the evaluation is complete.
 
Event Description
The customer reported a false elevated ca 19-9 xr result of 340 u/ml when processing on the alinity i.Retest results were 3.0 and 3.0 u/ml.The customer also reported false elevated afp initial result of 74.8 ng/ml, when processing on the alinity i.Retest results for afp were 11.6 and 11.1 ng/ml.No impact to patient management was reported.
 
Manufacturer Narrative
The catalog number in (suspect medical device) the was updated from 07p90-21 to 07p90-20.A product evaluation is in process.A follow-up report will be submitted when the evaluation is complete.
 
Manufacturer Narrative
Additional information was received on 30jul2019 regarding this event that the architect afp was used off-label and not for the intended use of the assay.Based upon this new information, this complaint is no longer a reportable event.There will be no further information reported for this manufacturer report number.
 
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Brand Name
ARCHITECT AFP
Type of Device
ALPHA-FETOPROTEIN
Manufacturer (Section D)
ABBOTT IRELAND
diagnostics division
finisklin business park
sligo NA
EI  NA
MDR Report Key8587130
MDR Text Key148178914
Report Number3008344661-2019-00066
Device Sequence Number1
Product Code LOK
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional
Type of Report Initial,Followup,Followup
Report Date 08/12/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number07P90-21
Device Lot Number93137FN00
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received 04/23/2019
Initial Date FDA Received05/07/2019
Supplement Dates Manufacturer Received05/13/2019
07/30/2019
Supplement Dates FDA Received06/11/2019
08/12/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
ALINITY I PROCESSING MODULE, LIST 03R65-01; ALINITY I PROCESSING MODULE, LIST 03R65-01; SERIAL (B)(4); SERIAL (B)(4)
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