TRIAGE D-DIMER PANEL 98100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,health professional, report with the FDA on 2018-05-14 for TRIAGE D-DIMER PANEL 98100 manufactured by Quidel Cardiovascular, Inc..

Event Text Entries

[108727085] Investigation conclusion: customers complaint was not replicated with in-house testing of retain lot w63227b. No issues with analyte recovery were observed and the product performed as expected. Manufacturing batch records for the lot were reviewed and found that the lot met release specifications. Based on the information available, there is no indication of a product deficiency and no corrective action is required.
Patient Sequence No: 1, Text Type: N, H10


[108727086] The customer alleged a variance between the triage d-dimer panel and stago satelite analyzer. Results for one patient are as follows: triage d-dimer : 446ng/ml. Stago d-dimer : 0. 67ug/ml. Cutoffs: triage=500 ng/ml ; stago=0. 5 ug/ml. The triage d-dimer result was within customers normal range for d-dimer and stago result was abnormal. Customer stated patient was only treated on stago result.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3013982035-2018-00013
MDR Report Key7513159
Report SourceCONSUMER,HEALTH PROFESSIONAL,
Date Received2018-05-14
Date of Report2018-05-14
Date Mfgr Received2018-04-17
Device Manufacturer Date2017-08-07
Date Added to Maude2018-05-14
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 Location3
Manufacturer ContactJESSICA PERROTTE
Manufacturer Street9975 SUMMERS RIDGE ROAD
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal92121
Manufacturer Phone8588053573
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTRIAGE D-DIMER PANEL
Generic NameFIBRIN SPLIT PRODUCTS
Product CodeGHH
Date Received2018-05-14
Model Number98100
Lot NumberW63227B
Device Expiration Date2018-05-21
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerQUIDEL CARDIOVASCULAR, INC.
Manufacturer Address9975 SUMMERS RIDGE ROAD SAN DIEGO CA 92121 US 92121


Patients

Patient NumberTreatmentOutcomeDate
10 2018-05-14

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