CELL-DYN 22 CALIBRATOR 99120-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2007-08-17 for CELL-DYN 22 CALIBRATOR 99120-01 manufactured by Abbott Diagnostics Division/celldyn.

Event Text Entries

[663691] The customer stated after calibrating the cell-dyn 3200 analyzer the platelet qc is out of range, high. The customer was advised of the recall of cell-dyn control lot 3100. The customer was further instructed to reset the platelet calibrator factors back to the parameters prior to controls out of range high, recalibrate and re-assay with a different lot of controls. The platelet qc out of range issue was resolved by calibration with a fresh, properly stored calibrator. The customer reported that there was no further issues and they were satisfied with the performance of the instrument and the controls.
Patient Sequence No: 1, Text Type: D, B5


[7853937] An investigation is in process. A final report will be submitted when the investigation is completed.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2919069-2007-00125
MDR Report Key897743
Report Source05
Date Received2007-08-17
Date of Report2007-05-03
Date of Event2006-09-19
Date Mfgr Received2007-05-03
Date Added to Maude2007-10-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactDR. DAVID BARTCH, D-09Y6, AP6C-2
Manufacturer Street100 ABBOTT PARK ROAD
Manufacturer CityABBOTT PARK IL 600646092
Manufacturer CountryUS
Manufacturer Postal600646092
Manufacturer Phone8479379328
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction Number2919069-9/26/06-003-C
Event Type3
Type of Report3

Device Details

Brand NameCELL-DYN 22 CALIBRATOR
Generic NameCD22 CALIBRATOR
Product CodeKRZ
Date Received2007-08-17
Model NumberNA
Catalog Number99120-01
Lot Number3100
ID Number3098
Device Expiration Date2006-10-06
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key878397
ManufacturerABBOTT DIAGNOSTICS DIVISION/CELLDYN
Manufacturer Address5440 PATRICK HENRY DRIVE SANTA CLARA CA 95054 US


Patients

Patient NumberTreatmentOutcomeDate
10 2007-08-17

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