MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2018-05-01 for CLINICAL CHEMISTRY GLUCOSE 03L82-21 manufactured by Abbott Manufacturing Inc.
[107716008]
An evaluation is in process. A follow-up report will be submitted when the evaluation is complete.
Patient Sequence No: 1, Text Type: N, H10
[107716009]
The customer observed multiple falsely depressed glucose results while using clinical chemistry glucose reagents. The following data was provided for the same patient: sid: (b)(6) (serum) initial 47 mg/dl, repeat 47 mg/dl. Glucometer reading 15 minutes earlier was higher, 158 mg/dl. Previous results for the patient using the clinical chemistry glucose method ranged from 44 to 47 mg/dl. The customer stated the patient takes vitamin d, a multivitamin, fenlasaxine (150 mg, 2 tablets per day) and n-acetyl-l-cysteine (600 mg, 4 tablets per day). No change to medication was reported due to the falsely depressed glucose results. No impact to patient management was reported.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1628664-2018-00170 |
| MDR Report Key | 7478071 |
| Report Source | HEALTH PROFESSIONAL |
| Date Received | 2018-05-01 |
| Date of Report | 2018-06-05 |
| Date of Event | 2018-04-06 |
| Date Mfgr Received | 2018-05-11 |
| Device Manufacturer Date | 2017-09-01 |
| Date Added to Maude | 2018-05-01 |
| 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 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | NOEMI ROMERO-KONDOS, RN BSN |
| Manufacturer Street | 100 ABBOTT PARK ROAD DEPT. 09B9, LCCP1-3 |
| Manufacturer City | ABBOTT PARK IL 600643537 |
| Manufacturer Country | US |
| Manufacturer Postal | 600643537 |
| Manufacturer Phone | 224667-512 |
| Manufacturer G1 | ABBOTT MANUFACTURING INC |
| Manufacturer Street | 1921 HURD DRIVE |
| Manufacturer City | IRVING TX 75038 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 75038 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CLINICAL CHEMISTRY GLUCOSE |
| Generic Name | GLUCOSE |
| Product Code | CFR |
| Date Received | 2018-05-01 |
| Catalog Number | 03L82-21 |
| Lot Number | 51494UQ07 |
| Device Expiration Date | 2018-07-31 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | * |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ABBOTT MANUFACTURING INC |
| Manufacturer Address | 1921 HURD DRIVE IRVING TX 75038 US 75038 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-05-01 |