CLINICAL CHEMISTRY GLUCOSE 03L82-21

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2018-11-20 for CLINICAL CHEMISTRY GLUCOSE 03L82-21 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[127944592] All available patient information was included. Additional patient details are not available. An evaluation is in process. A final report will be submitted when the evaluation is complete.
Patient Sequence No: 1, Text Type: N, H10


[127944593] The customer observed falsely elevated glucose results on the architect c16000 analyzer. The following data was provided: t0 169. 1 mg/dl 92. 1 mg/dl; t1 240. 3 mg/dl 144 mg/dl; t2 216 mg/dl, 101. 2 mg/dl. Due to imprecise glucose results, the doctor started a treatment based on the first result, which turned out to be inappropriate, causing significant hypoglycemia in the patient. No further details regarding the treatment or how the patient is doing, are yet available.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1628664-2018-02026
MDR Report Key8090294
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2018-11-20
Date of Report2019-02-04
Date of Event2018-11-03
Date Mfgr Received2019-01-09
Date Added to Maude2018-11-20
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 GLUCOSE
Generic NameGLUCOSE
Product CodeCFR
Date Received2018-11-20
Catalog Number03L82-21
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
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
101. Other 2018-11-20

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