MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2017-07-10 for I-STAT CREA CARTRIDGE 03P84-25 manufactured by Abbott Point Of Care.
[80057579]
(b)(4). Apoc labeling will be evaluated during the investigation as pertaining to the event.
Patient Sequence No: 1, Text Type: N, H10
[80057580]
On 06/14/2017, abbott point of care was contacted by a customer regarding i-stat crea cartridges that yielded a suspected discrepant crea result of 2. 5 mg/dl on a (b)(6) year old female with symptoms of lung and colon cancer. The customer states that on (b)(6) 2017 the same patient had a high crea of 3. 0 mg/dl. The patient ws treated on results at the doctors office. There was no additional patient information at the time of this report. The customer states that return product is available for investigation. Date: (b)(6) 2017, (b)(6) 2017 , (b)(6) 2017; collect/test: 1101/1101, 1446/1446, 1450/unk; method: i-stat, i-stat, dr. Office; results: 2. 5 mg/dl, 1. 2 mg/dl, 0. 7 mg/dl. Apoc suspects that the patient may have been taking hydroxyurea however, not confirmed at the time of this report. Per i-stat system manual art: (b)(4). Hydroxyurea is a substance that is known to interfere with the i-stat creatinine assay resulting in increased i-stat creatinine results. There are no injuries associated with this event. At this time, there is no reason to suspect a malfunction exits. The investigation is underway.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2245578-2017-00033 |
| MDR Report Key | 6698614 |
| Report Source | HEALTH PROFESSIONAL |
| Date Received | 2017-07-10 |
| Date of Report | 2017-07-21 |
| Date of Event | 2017-06-14 |
| Date Mfgr Received | 2017-07-17 |
| Device Manufacturer Date | 2017-04-27 |
| Date Added to Maude | 2017-07-10 |
| 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 CREA CARTRIDGE |
| Generic Name | CREA CARTRIDGE |
| Product Code | CGL |
| Date Received | 2017-07-10 |
| Model Number | NA |
| Catalog Number | 03P84-25 |
| Lot Number | A17117 |
| Device Expiration Date | 2017-10-14 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | N |
| 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 | 2017-07-10 |