CLINICAL CHEMISTRY LACTATE DEHYDROGENASE 02P56-21

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 2018-12-28 for CLINICAL CHEMISTRY LACTATE DEHYDROGENASE 02P56-21 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[131721106] An evaluation is in process. A follow-up report will be submitted when the evaluation is complete. An evaluation is in process.
Patient Sequence No: 1, Text Type: N, H10


[131721107] The customer observed falsely elevated results while using clinical chemistry lactate dehydrogenase reagents. The following data was provided for one patient. Sid (b)(6) initial 470. 62 u/l, repeat using the same architect c8000 analyzer sn (b)(4) 191. 96 u/l, repeat using another analyzer (architect c16000 sn (b)(4)) 188. 46, 188. 46 u/l no impact to patient management was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1628664-2018-02201
MDR Report Key8203982
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2018-12-28
Date of Report2019-01-08
Date of Event2018-12-14
Date Mfgr Received2019-01-04
Date Added to Maude2018-12-28
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 LACTATE DEHYDROGENASE
Generic NameLACTATE DEHYDROGENASE
Product CodeCFJ
Date Received2018-12-28
Catalog Number02P56-21
Lot Number73199UN18
OperatorHEALTH PROFESSIONAL
Device Availability*
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerABBOTT MANUFACTURING INC
Manufacturer Address1921 HURD DRIVE IRVING TX 75038 US 75038


Patients

Patient NumberTreatmentOutcomeDate
10 2018-12-28

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