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ABBOTT LABORATORIES ARCHITECT STAT TROPONIN-I REAGENT KIT; IMMUNOASSAY METHOD, TROPONIN SUBUNIT
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| Catalog Number |
02K41-27 |
| Medical Device Problem Code |
High Test Results (2457)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
07/13/2025
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Type of Reportable Event
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Malfunction
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Additional Manufacturer Narrative
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Section a1 - patient identifier: complete (b)(6).An evaluation is in process.A follow-up report will be submitted when the evaluation is complete.
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Event or Problem Description
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The customer reported falsely elevated architect stat troponin-i results generated by the architect i1000sr processing module for a 64-year-old female patient.A second blood draw from the patient yielded normal results.It was noted that the architect stat troponin-i was an add-on order placed two hours later to sid (b)(6), which was drawn at 10:00 am.The following data was provided: customer¿s normal reference range: <0.01 ng/ml (b)(6) (drawn at 10:00 am): (b)(6) 2025 @12:32 pm initial result = 0.136 ng/ml (b)(6) 2025 @15:06 pm repeat result = 0.102 ng/ml (b)(6) 2025 @15:36 pm repeat result (post re-centrifuge) = 0.000 ng/ml (b)(6) 2025 @15:59 pm repeat result (post re-centrifuge) = 0.001 ng/ml (b)(6) 2025 @16:00 pm repeat result (post re-centrifuge) = 0.010 ng/ml.(b)(6) 2025 @16:00 pm repeat result (post re-centrifuge) = 0.003 ng/ml.(b)(6) (drawn two hours later): (b)(6) 2025 @14:48 pm initial result = 0.005 ng/ml (b)(6) 2025 @15:06 pm repeat result = 0.008 ng/ml (b)(6) 2025 @15:37 pm repeat result = 0.000 ng/ml (b)(6) 2025 @16:01 pm repeat result = 0.007 ng/ml (b)(6) 2025 @16:01 pm repeat result = 0.000 ng/ml (b)(6) 2025 @16:02 pm repeat result = 0.000 ng/ml.No impact to patient management was reported.
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Event or Problem Description
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The customer reported falsely elevated architect stat troponin-i results generated by the architect i1000sr processing module for a 64-year-old female patient.A second blood draw from the patient yielded normal results.It was noted that the architect stat troponin-i was an add-on order placed two hours later to sid (b)(6), which was drawn at 10:00 am.The following data was provided: customer¿s normal reference range: <0.01 ng/ml.Sid (b)(6),(drawn at 10:00 am): on (b)(6) 2025 @12:32 pm initial result = 0.136 ng/ml, on (b)(6) 2025 @15:06 pm repeat result = 0.102 ng/ml, on (b)(6) 2025 @15:36 pm repeat result (post re-centrifuge) = 0.000 ng/ml, on (b)(6) 2025 @15:59 pm repeat result (post re-centrifuge) = 0.001 ng/ml, on (b)(6) 2025 @16:00 pm repeat result (post re-centrifuge) = 0.010 ng/ml, on (b)(6) 2025 @16:00 pm repeat result (post re-centrifuge) = 0.003 ng/ml.Sid (b)(6),(drawn two hours later): on (b)(6) 2025 @14:48 pm initial result = 0.005 ng/ml, on (b)(6) 2025 @15:06 pm repeat result = 0.008 ng/ml, on (b)(6) 2025 @15:37 pm repeat result = 0.000 ng/ml, on (b)(6) 2025 @16:01 pm repeat result = 0.007 ng/ml, on (b)(6) 2025 @16:01 pm repeat result = 0.000 ng/ml, on (b)6) 2025 @16:02 pm repeat result = 0.000 ng/ml.No impact to patient management was reported.
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Additional Manufacturer Narrative
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The complaint investigation included a review of data and information provided by the customer, a ticket trending review, a device history record review, a field data review, and a labeling review.The data and information provided by the customer were reviewed and support the complaint issue.A review of tracking and trending for the architect stat troponin-i assay did not identify an increase in complaint activity related to the complaint issue.Additionally, an increase in complaint activity was not identified for reagent lot 19415un25.A review of the device history record did not identify any non-conformances or deviations with lot 19415un25 and the complaint issue.The historical performance of the architect stat troponin-i reagents in the field was reviewed using data from customers worldwide.The patient median data (divided into 3 groups) and cal f rlu mean were analyzed and compared to an established control limit.This evaluation indicated that all three levels of the patient medians and the cal f rlu mean for lot 19415un25 are within the established limits.Therefore, no unusual reagent lot performance was identified for the lot 19415un25.A review of labeling was performed and found to sufficiently address the customer's issue.In this case, sample preparation may have contributed to the customer¿s issue, as the repeat testing gave lower results (after re-centrifugation), indicating a possible sample preparation or sample integrity issue.Based on this investigation, no systemic issue or deficiency was identified with the architect stat troponin-i reagent, lot number 19415un25.
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