CLINICAL CHEMISTRY TOTAL BILIRUBIN 06L45-21

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 2018-10-29 for CLINICAL CHEMISTRY TOTAL BILIRUBIN 06L45-21 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[126663869] Evaluation of the customer issue included a complaint text review, a search for similar complaints, device history review, and labeling review. The product was not returned. No adverse trend was identified for the customer issue. Device history review did not identify any issues that may have caused the customer issue. Labeling was reviewed and found to be adequate. Based on all available information and abbott diagnostics evaluation, no systemic issue was identified and no product deficiency was found.
Patient Sequence No: 1, Text Type: N, H10


[126663870] The customer observed falsely depressed results while using clinical chemistry total bilirubin reagents. The following data was provided for the same newborn patient. The customer uses normal range 0. 3 to 1. 5 mg/dl and critical value greater than 14. 9 mg/dl. Sid: (b)(6). Specimen drawn on (b)(6) 2018 at 30 hours of life was lower, 0. 4 mg/dl. Previous and subsequent specimen results for the same patient were higher. Specimen drawn on (b)(6) 2018, at 3 hours of life, 3. 5 mg/dl. Specimen drawn on (b)(6) 2018 at 29 hours of life) initial 29. 0 mg/dl. Specimens drawn on (b)(6) 2018 12. 0, 13. 0 mg/dl. Specimen drawn on (b)(6) 2018 10. 7 mg/dl. Advance br2 method was higher for the specimen drawn on (b)(6) 2018 at 30 hours (8. 6 mg/dl). No adverse impact to patient management was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1628664-2018-01978
MDR Report Key8016271
Report SourceHEALTH PROFESSIONAL
Date Received2018-10-29
Date of Report2018-10-29
Date of Event2018-10-01
Date Mfgr Received2018-10-10
Device Manufacturer Date2018-07-27
Date Added to Maude2018-10-29
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 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 TOTAL BILIRUBIN
Generic NameTOTAL BILIRUBIN REAGENT
Product CodeCIG
Date Received2018-10-29
Catalog Number06L45-21
Lot Number53066UQ05
Device Expiration Date2019-10-31
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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 2018-10-29

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