MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2016-05-13 for I-STAT B-HCG CARTRIDGE 05P58-25 manufactured by Abbott Point Of Care.
[45199725]
(b)(4).
Patient Sequence No: 1, Text Type: N, H10
[45199726]
On 04/25/2016, abbott point of care (apoc) was contacted by a customer regarding i-stat b-hcg cartridges that yielded a suspected false positive result on a patient admitted with back pain and fever. There was no additional patient information at the time of this report. The patient was given a transvaginal ultrasound, which confirmed the patient was not pregnant. The customer states that return product is available for investigation. (b)(4). Based on the information available and internal control algorithms the event is reportable as a potential product malfunction although not confirmed at this time. There are no injuries associated with this event. The investigation is underway.
Patient Sequence No: 1, Text Type: D, B5
[47669488]
Apoc incident # (b)(4). The investigation was completed on 06/02/2016. Customer returns and retain product was tested and are functioning according to specification.
Patient Sequence No: 1, Text Type: N, H10
[47669489]
Na
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2245578-2016-00026 |
| MDR Report Key | 5652526 |
| Report Source | HEALTH PROFESSIONAL |
| Date Received | 2016-05-13 |
| Date of Report | 2016-06-13 |
| Date of Event | 2016-04-25 |
| Date Mfgr Received | 2016-06-02 |
| Device Manufacturer Date | 2016-02-03 |
| Date Added to Maude | 2016-05-13 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | LINDA MACZUSZENKO |
| Manufacturer Street | 400 COLLEGE ROAD |
| Manufacturer City | PRINCETON NJ 08540 |
| Manufacturer Country | US |
| Manufacturer Postal | 08540 |
| Manufacturer Phone | 6136885949 |
| Manufacturer G1 | ABBOTT POINT OF CARE CANADA LTD. |
| Manufacturer Street | 185 CORKSTOWN ROAD |
| Manufacturer City | OTTAWA, ONTARIO K2H 8V4 |
| Manufacturer Country | CA |
| Manufacturer Postal Code | K2H 8V4 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | I-STAT B-HCG CARTRIDGE |
| Generic Name | B-HCG CARTRIDGE |
| Product Code | NAL |
| Date Received | 2016-05-13 |
| Returned To Mfg | 2016-05-27 |
| Model Number | NA |
| Catalog Number | 05P58-25 |
| Lot Number | A16034 |
| Device Expiration Date | 2016-07-14 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ABBOTT POINT OF CARE |
| Manufacturer Address | 400 COLLEGE ROAD PRINCETON NJ 085406607 US 085406607 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2016-05-13 |