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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT LABORATORIES CELL-DYN EMERALD 22 SYSTEM; COUNTER, DIFFERENTIAL CELL

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ABBOTT LABORATORIES CELL-DYN EMERALD 22 SYSTEM; COUNTER, DIFFERENTIAL CELL Back to Search Results
Model Number 09H5901
Device Problem High Test Results (2457)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/18/2021
Event Type  malfunction  
Event Description
The customer observed a falsely elevated hemoglobin result generated on the cell-dyn emerald when compared to another method.The following data was provided: initial result = 8.8 g/dl, the patient had a new sample drawn at another laboratory using siemens sysmex = 7.1.The samples were collected on the same day and the patient did not receive treatment in between the blood draws.No impact to patient management was reported.
 
Manufacturer Narrative
An evaluation is in process.A follow-up report will be submitted when the evaluation is complete.
 
Event Description
The customer observed a falsely elevated hemoglobin result generated on the cell-dyn emerald when compared to another method.The following data was provided: initial result = 8.8, the patient had a new sample drawn at another laboratory using siemens sysmex = 7.1 the samples were collected on the same day and the patient did not receive treatment in between the blood draws.No impact to patient management was reported.
 
Manufacturer Narrative
The complaint investigation for falsely elevated hemoglobin results generated on the cell-dyn emerald 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.Trending review did not identify any trends for the issue for the product.Device history record review did not identify any non-conformances with the complaint issue.Labeling was reviewed and sufficiently addresses the customer's issue.Based on our investigation, no systemic issue or deficiency with the cell-dyn emerald for serial (b)(6) was identified.Section g1 has been updated to current contact information.
 
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Brand Name
CELL-DYN EMERALD 22 SYSTEM
Type of Device
COUNTER, DIFFERENTIAL CELL
Manufacturer (Section D)
ABBOTT LABORATORIES
4551 great america parkway
santa clara CA 95054
Manufacturer (Section G)
ABBOTT LABORATORIES
4551 great america parkway
santa clara CA 95054
Manufacturer Contact
siobhan wright
lisnamuck
post market surveillance
longford, IL N39 E-932
2246682940
MDR Report Key13005658
MDR Text Key288899901
Report Number2919069-2021-00025
Device Sequence Number1
Product Code GKZ
UDI-Device Identifier00380740020286
UDI-Public00380740020286
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K110381
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 02/14/2022
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 Model Number09H5901
Device Catalogue Number09H59-01
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 11/18/2021
Initial Date FDA Received12/14/2021
Supplement Dates Manufacturer Received02/11/2022
Supplement Dates FDA Received02/14/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured05/07/2020
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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