inforMED
MalfunctionCFM

CLINICAL CHEMISTRY IRON

Received Sep 17, 2008 · Event occurred Sep 1, 2008

Report 2018433-2008-00185 · MDR key 1171505

Device

Generic name

For The Quantitation Of Iron In Human Serum

Model number

NA

Catalog number

7D68-30

Lot number

60030HW00

Product problems

  • Incorrect Or Inadequate Test Results

Patient

NI

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

(B)(4).

Description of Event or Problem

THE ACCOUNT STATED THAT THE RESULTS FROM THE ARCHITECT IRON ASSAY ARE NON-REPRODUCIBLE. FOR PATIENT #2, THE INITIAL RESULT= 6 UG/DL, THE SAMPLE WAS THEN TESTED IN DUPLICATE AND BOTH RESULTS WERE 15 UG/DL. THE ACCOUNT STATES THE INITIAL RESULT WHICH IS TOO LOW IS THE INCORRECT RESULT. THERE WAS NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Additional Manufacturer Narrative

THIS IS AN INITIAL REPORT. AN INVESTIGATION IS IN PROCESS. A FINAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative

(B)(4). THE CUSTOMER WAS COMPLAINING OF IRON REPRODUCIBILITY ISSUES. MAINTENANCE WAS UP TO DATE. CUSTOMER USING CLINICAL CHEMISTRY IRON, LN 7D68-30, EXP 10/30/2008 AND IRON/MG CALIBRATOR, LN 1E69-03, EXP 6/9/2008. IT WAS LATER IDENTIFIED THE CUSTOMER WAS USING EXPIRED CALIBRATORS WHEN THE SUSPECT RESULTS WERE GENERATED. REVIEW THE CLINICAL CHEMISTRY IRON/ MAGNESIUM CALIBRATOR PACKAGE INSERT COMMODITY #(B)(4) WAS PERFORMED. PAGE 1, "WARNINGS AND PRECAUTIONS" SECTION STATES; "DO NOT USE COMPONENTS BEYOND THE EXPIRATION DATE". REVIEW OF THE ABBOTT METRIC REPORTS INDICATED NO SIMILAR COMPLAINTS WERE FOUND. THIS IS THE FINAL REPORT.