I-STAT CHEM8+ CARTRIDGE 09P31-25

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2017-07-24 for I-STAT CHEM8+ CARTRIDGE 09P31-25 manufactured by Abbott Point Of Care.

Event Text Entries

[80906953] (b)(4). Apoc labeling will be evaluated during the investigation as pertaining to the event.
Patient Sequence No: 1, Text Type: N, H10


[80906954] On (b)(6)2017, abbott point of care was contacted by a customer regarding i-stat chem8+ cartridges that yielded suspected discrepant hematocrit result on a patient presented with jaundice/ altered mental status and weakness. There was no patient information at the time of this report. The customer states that product is available for investigation. Method: sample: date: collection: test : result: i-stat, a-wb, (b)(6)2017, 1822, 1828, hct 38 / hb 12. 9. Beckman, b-wb, (b)(6)2017, 1822, 1828, hct 18. 7 / hb 5. 8. I-sta,t a-wb, (b)(6)2017, 1822, 1850, hct 24 / hb 8. 2. On (b)(6)2017 at 08:05, the patient received a blood transfusion of fresh frozen plasma , 1 unit each time based on the lab result. There are no injuries associated with this event. The investigation is underway.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2245578-2017-00037
MDR Report Key6736996
Report SourceHEALTH PROFESSIONAL
Date Received2017-07-24
Date of Report2017-09-28
Date of Event2017-06-28
Date Mfgr Received2017-09-22
Device Manufacturer Date2017-03-30
Date Added to Maude2017-07-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactLINDA MACZUSZENKO
Manufacturer Street400 COLLEGE ROAD
Manufacturer CityPRINCETON NJ 08540
Manufacturer CountryUS
Manufacturer Postal08540
Manufacturer Phone6136885949
Manufacturer G1ABBOTT POINT OF CARE CANADA LTD.
Manufacturer Street185 CORKSTOWN ROAD
Manufacturer CityOTTAWA, ONTARIO K2H 8V4
Manufacturer CountryCA
Manufacturer Postal CodeK2H 8V4
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameI-STAT CHEM8+ CARTRIDGE
Generic NameCHEM8+ CARTRIDGE
Product CodeGKF
Date Received2017-07-24
Model NumberNA
Catalog Number09P31-25
Lot NumberH17089B
Device Expiration Date2017-09-14
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No0
Device Event Key0
ManufacturerABBOTT POINT OF CARE
Manufacturer Address400 COLLEGE ROAD PRINCETON NJ 085406607 US 085406607

Device Sequence Number: 1

Brand NameI-STAT CHEM8+ CARTRIDGE
Generic NameCHEM8+ CARTRIDGE
Product CodeJGS
Date Received2017-07-24
Model NumberNA
Catalog Number09P31-25
Lot NumberH17089B
Device Expiration Date2017-09-14
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT POINT OF CARE
Manufacturer Address400 COLLEGE ROAD PRINCETON NJ 085406607 US 085406607


Patients

Patient NumberTreatmentOutcomeDate
10 2017-07-24

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