CAPILLIARY TUBES FOR ABL5 BLOODGAS ANALYZER * 942-873

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01 report with the FDA on 2006-03-22 for CAPILLIARY TUBES FOR ABL5 BLOODGAS ANALYZER * 942-873 manufactured by *.

Event Text Entries

[16764957] The customer has observed small bobbles of air in the measuring chamber of their abl5, bloodgas analyzer and sometimes the measurement of the p02 value is to high, in relation to what was expected. The customer used a wroong size of capillary tubes. The analyzer requires a minimum of 85 ul to perform a correct measurement of all parameters. If the user only provides 55 ul the analyzer will not get enough blood to ensure correct measurements. This causes that the p02 value will be to high and sometimes close to the value of atmospheric air.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3002807968-2006-00020
MDR Report Key692773
Report Source01
Date Received2006-03-22
Date of Report2006-03-22
Date of Event2006-02-17
Date Mfgr Received2006-02-17
Date Added to Maude2006-03-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactLISE-LOTTE RINGBY, SPECIALIST
Manufacturer StreetAKANDVEJ 21
Manufacturer CityBRONSHOJ 2700
Manufacturer CountryDA
Manufacturer Postal2700
Manufacturer Phone8273495
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCAPILLIARY TUBES FOR ABL5 BLOODGAS ANALYZER
Generic NameCAPILLARY TUBES
Product CodeGIO
Date Received2006-03-22
Model Number*
Catalog Number942-873
Lot Number*
ID Number*
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key681925
Manufacturer*
Manufacturer Address* * *
Baseline Brand NameCAPILLIARY TUBES FOR ABL5 BLOODGAS ANALYZER
Baseline Generic NameCAPILLARY TUBES
Baseline Model No*
Baseline Catalog No942-873
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2006-03-22

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