CLINICAL CHEMISTRY CARBON DIOXIDE 03L80-21

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 2018-06-28 for CLINICAL CHEMISTRY CARBON DIOXIDE 03L80-21 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[112746717] An evaluation is in process. A followup report will be submitted when the evaluation is complete.
Patient Sequence No: 1, Text Type: N, H10


[112746718] The account observed elevated architect carbon dioxide results ranging 33 to 35 mmol/l on 5 patient samples. The samples were repeated after recalibration with patient results in the account normal range of 20 to 31 mmol/l. No impact to patient management was reported. No specific patient information was provided.
Patient Sequence No: 1, Text Type: D, B5


[119565740] Further investigation of the customer issue included a review of the complaint text, a search for similar complaints, review of field data, and a review of labeling. No adverse trend was identified for the customer's issue. No return patient sample was available. Historical performance of the reagent lot was evaluated using world wide data. The patient data was analyzed and within established control limits. Labeling was reviewed and found to be adequate. Based on all available information and abbott diagnostics' complaint investigation no product deficiency was identified.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1628664-2018-00261
MDR Report Key7649241
Report SourceHEALTH PROFESSIONAL
Date Received2018-06-28
Date of Report2018-08-17
Date of Event2018-06-08
Date Mfgr Received2018-07-25
Device Manufacturer Date2017-10-13
Date Added to Maude2018-06-28
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 ContactNOEMI ROMERO-KONDOS, RN BSN
Manufacturer Street100 ABBOTT PARK ROAD DEPT. 09B9, LCCP1-3
Manufacturer CityABBOTT PARK IL 600643537
Manufacturer CountryUS
Manufacturer Postal600643537
Manufacturer Phone224667-512
Manufacturer G1ABBOTT MANUFACTURING INC
Manufacturer Street1921 HURD DRIVE
Manufacturer CityIRVING TX 75038
Manufacturer CountryUS
Manufacturer Postal Code75038
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCLINICAL CHEMISTRY CARBON DIOXIDE
Generic NameCARBON DIOXIDE
Product CodeKHS
Date Received2018-06-28
Catalog Number03L80-21
Lot Number51686UQ08
Device Expiration Date2018-09-30
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT MANUFACTURING INC
Manufacturer Address1921 HURD DRIVE IRVING TX 75038 US 75038


Patients

Patient NumberTreatmentOutcomeDate
10 2018-06-28

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