inforMED
MalfunctionKEY

VP 2000 PROCESSOR

Received Mar 25, 2016 · Event occurred Mar 2, 2016

Report 3005248192-2016-00001 · MDR key 5526929

Device

Generic name

Stainer, Tissue, Automated

Catalog number

02J11-01

Product problems

  • Temperature Problem

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

ELEVATED COMPLAINT INVESTIGATION (B)(4) FOR MDR 3005248192-2016-00001 FOLLOW-UP REPORT 1 INCLUDED AN EXISTING DATA REVIEW, QUALITY DATA REVIEW (CAPA/NONCONFORMANCE REVIEW), PRODUCT/SYSTEM/INSTRUMENT EVALUATION, AND COMPLAINT HISTORY REVIEW. THE INFORMATION IN THIS COMPLAINT IDENTIFIED THAT DRYER ASSEMBLY (PART 30-144163RO) FAILURES DID OCCUR HOWEVER THE OVERALL PRODUCT DESIGN REQUIREMENTS CONTINUE TO BE MET. THE OVERALL PRODUCT PERFORMED AS DESIGNED, PER SAFETY STANDARD IEC 61010-1, AND CONTINUES TO PERFORM AS EXPECTED WHEN THIS FAILURE MODE OCCURS, AS THERE IS NO EVIDENCE THAT THE SINGLE FAULT CONDITION TEMPERATURE EXCEEDED 105°C ON ANY TOUCHABLE SURFACE. BASED ON THE INVESTIGATION RESULTS, NO PRODUCT DEFICIENCY WAS IDENTIFIED.

Additional Manufacturer Narrative

AN MDR FOLLOW-UP REPORT WILL BE SUBMITTED AFTER AN ELEVATED COMPLAINT INVESTIGATION CONCLUDES.

Description of Event or Problem

THE ABBOTT VP 2000 PROCESSOR IS A DEVICE DESIGNED TO AUTOMATE AND STANDARDIZE SLIDE SPECIMEN PROCESSING AND ROUTINE SLIDE STAINING FOR THE LABORATORY. CUSTOMER REPORTED THAT THE RACK HOLDING THE SLIDES WAS UNEXPECTEDLY WARM TO THE TOUCH. IT WAS REPORTED THAT THE RACK WITH THE SLIDES WAS ALMOST DROPPED DUE TO THE TEMPERATURE. THERE WAS NO REPORT OF INJURY. THE ABBOTT FIELD SERVICE ENGINEER (FSE) REPLACED THE AIR DRYER ASSEMBLY AND VERIFIED THE AIR DRYER ASSEMBLY TEMPERATURE. ALL TEMPERATURES AND CHECKS WERE WITHIN MANUFACTURER SPECIFICATIONS. THE FSE RESTORED THE VP2000 TO ITS OPERATIONAL CONDITION. AN ABBOTT ELEVATED COMPLAINT INVESTIGATION HAS BEEN INITIATED.