I-STAT CHEM8+ CARTRIDGE 03P91-25

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 2012-07-27 for I-STAT CHEM8+ CARTRIDGE 03P91-25 manufactured by Abbott Point Of Care, Inc..

Event Text Entries

[2782650] On (b)(6) 2012, abbott point of care was contacted by a customer regarding unexpected hemoglobin (hb) results on an i-stat chem8+ cartridge. Time: 1451, hb: 6. 5, hct: 19. Time: 1501, hb: 10. 2, hct: 30 same sample. Time: 1514, hb: 5. 1, hct: 15 same sample. Based on the information available, there were no injuries associated with this event.
Patient Sequence No: 1, Text Type: D, B5


[10090281] (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[10299035] (b)(4). The investigation was completed on (b)(4) 2012. No deficiency was identified and the cartridges are functioning according to specification.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2245578-2012-00374
MDR Report Key2678723
Report Source05
Date Received2012-07-27
Date of Report2012-07-23
Date of Event2012-07-23
Date Mfgr Received2012-10-25
Device Manufacturer Date2012-02-01
Date Added to Maude2012-11-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactJOSEPH KICEINA
Manufacturer Street400 COLLEGE ROAD
Manufacturer CityPRINCETON NJ 08540
Manufacturer CountryUS
Manufacturer Postal08540
Manufacturer Phone6094549494
Manufacturer G1ABBOTT POINT OF CARE CANADA LTD.
Manufacturer Street185 CORKSTOWN ROAD
Manufacturer CityOTTAWA, ONTARIO K2H8V4
Manufacturer CountryCA
Manufacturer Postal CodeK2H 8V4
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameI-STAT CHEM8+ CARTRIDGE
Generic NameCHEM8+ CARTRIDGE
Product CodeCDS
Date Received2012-07-27
Model NumberNA
Catalog Number03P91-25
Lot NumberJ12056
Device Expiration Date2012-08-14
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT POINT OF CARE, INC.
Manufacturer AddressPRINCETON NJ 08540 US 08540


Patients

Patient NumberTreatmentOutcomeDate
10 2012-07-27

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