MAUDE Adverse Event Report: ABBOTT IRELAND DIAGNOSTICS DIVISION ARCHITECT CMV IGG REAGENT KIT; ENZYME LINKED IMMUNOABSORBENT ASSAY, CYTOMEGALOVIRUS

Catalog Number 06C15-25

Device Problem False Negative Result (1225)

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

Event Date 10/05/2022

Event Type  malfunction  

Manufacturer Narrative

An evaluation is in process.A follow-up report will be submitted when the evaluation is complete.All available patient information was included.Additional patient details are not available.

Event Description

The customer observed a false negative architect cmv igg result generated on the architect i2000sr processing module for a stored aliquot sample of a pregnant female patient.Sid (b)(6) from july 2022 was initially tested on (b)(6) 2022 and was found to be negative for cmv igg and cmv igm.A subsequent sample from the same patient was tested and was cmv igg positive.Retested the original sample on (b)(6) 2022 and it was cmv igg positive.No impact to patient management was reported.

Event Description

The customer observed a false negative architect cmv igg result generated on the architect i2000sr processing module for a stored aliquot sample of a pregnant female patient.Sid (b)(6),from (b)(6) 2022 was initially tested on (b)(6) 2022 and was found to be negative for cmv igg and cmv igm.A subsequent sample from the same patient was tested and was cmv igg positive.Retested the original sample on (b)(6)2022 and it was cmv igg positive.No impact to patient management was reported.Update: additional information provided on 20sep2023.The following detailed were provided: on (b)(6) 2022 sample initially tested sid s, (b)(6) (lot 40507fn00) was cmg igg positive on (b)(6) 2022 or (b)(6) 2022 testing of the booking sample sid s,(b)(6) (lot 40507fn00) was cmv igg negative on (b)(6) 2023 retested booking sample sid s, (b)(6) was cmv igg positive on (b)(6) 2022 another sample received with sid s,(b)(6) was cmv igg positive no impact to patient management was reported.

Manufacturer Narrative

Additional information in section a1 patient identifier, b3 date of the event, b5 a1 patient identifier completed information: sids (b)(6).The complaint investigation for falsely non-reactive architect cmv igg results included a review of data and information provided by the customer, search for similar complaints, ticket trending review, labeling review, and device history record review.Return testing was not completed as returns were not available.A review of tracking and trending did not identify any trends for the complaint issue.The device history record review on lot 40507fn00 did not show any potential non-conformances, deviations, or non-conformances associated with the complaint issue.Labeling was reviewed and found to adequately address the issue.Based on the investigation, no systemic issue or deficiency of the architect cmv igg assay for lot number 40507fn00 was identified.All available patient information was included.Additional patient details are not available.

• Brand Name: ARCHITECT CMV IGG REAGENT KIT
• Type of Device: ENZYME LINKED IMMUNOABSORBENT ASSAY, CYTOMEGALOVIRUS
• Manufacturer (Section D): ABBOTT IRELAND DIAGNOSTICS DIVISION; finisklin business park; sligo F91VY 44; EI F91VY44
• Manufacturer (Section G): ABBOTT IRELAND DIAGNOSTICS DIVISION; 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 Key: 17769341
• MDR Text Key: 323829161
• Report Number: 3008344661-2023-00169
• Device Sequence Number: 1
• Product Code: LFZ
• Combination Product (y/n): N
• Reporter Country Code: UK
• PMA/PMN Number: K220949
• 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: 09/27/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 09/18/2023
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Expiration Date: 05/25/2023
• Device Catalogue Number: 06C15-25
• Device Lot Number: 40507FN00
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 09/20/2023
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 06/13/2022
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Treatment: ARC I2000SR INST, 03M74-02, (B)(6); ARC I2000SR INST, 03M74-02, (B)(6)
• Patient Sex: Female