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The data and information provided by the customer were reviewed and supported the complaint issue without indication of any additional issues.A search for similar complaints did not identify an increase in complaint activity for lot 73561ud00.A review of tracking and trending for the architect total -hcg assay did not identify any trends related to the complaint issue.A review of the device history record did not identify any non-conformances, potential non-conformances or deviations with lot number 73561ud00 and the complaint issue.The overall performance of architect total -hcg reagents in the field was reviewed using data gathered from customers worldwide.The median patient result for the complaint lot is within established limits and comparable with other lots in the field, confirming no systemic issue for the lot.A review of labeling was performed and found to sufficiently address the customer¿s issue.Per product labeling, for diagnostic purposes, hcg results should always be used in conjunction with other data; e.G., patient¿s medical history, symptoms, results of other tests, clinical impressions, etc.If the hcg level is inconsistent with, or unsupported by, clinical evidence, results should be confirmed by an alternate hcg method.Additionally, as with any immunochemical reaction, unknown interferences from medications or endogenous substances may affect results.Interfering substances (such as heterophilic antibodies, non-specific proteins, or hcg-like substances) may falsely depress or falsely elevate results.These interfering substances may cause false results over the entire range of the assay, not just at low levels.Based on our investigation, no systemic issue or deficiency was identified with the architect total -hcg reagent, lot number 73561ud00.
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