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 2018-09-06 for TRIAGE D-DIMER PANEL 98100 manufactured by Quidel Cardiovascular Inc..

Event Text Entries

[119501744] Investigation conclusion: the customer's complaint was not replicated during in-house testing with retains of device lot w64237b. No issues with d-dimer recovery were observed; lot performed properly. Manufacturing batch records for the lot were reviewed, 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


[119501745] The customer reported variability between results produced on the triage d-dimer system. On (b)(6) 2018 a patient presented to the customer site with localized edema. Patient sample was tested on triage platform and produced d-dimer results of 455ng/ml, 205ng/ml, 233ng/ml, 307ng/ml and 445ng/ml. The specific time of testing was not provided but customer stated testing was all done on the same day with the same draw. Customer indicated the result of 455ng/ml was the reported result for the patient. Clinics reference range for triage d-dimer is <400ng/ml. Customer stated no other lab tests were performed and customer did not know patient diagnosis/outcome, treatment or medical history.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3013982035-2018-00026
MDR Report Key7853079
Report SourceCONSUMER,HEALTH PROFESSIONAL,
Date Received2018-09-06
Date of Report2018-09-06
Date of Event2018-08-01
Date Mfgr Received2018-08-07
Device Manufacturer Date2018-04-28
Date Added to Maude2018-09-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 NameTRIAGE D-DIMER PANEL
Product CodeGHH
Date Received2018-09-06
Model Number98100
Lot NumberW64237B
Device Expiration Date2019-02-11
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 2018-09-06

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