CLINICAL CHEMISTRY CREATININE 03L81-22

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 2019-01-14 for CLINICAL CHEMISTRY CREATININE 03L81-22 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[134061744] Further investigation of the customer issue included a review of complaint test, historical complaints and product labeling. No adverse trend was identified for the customer's issue. Review of the complaint activity determined that there was no increase identified. Labeling was reviewed and found to be adequate. Based on all available information and abbott diagnostic's complaint investigation, no product deficiency was identified. Note: this information was previously reported in manufacturer report 1415939-2018-00164 against the incorrect manufacturing site.
Patient Sequence No: 1, Text Type: N, H10


[134061745] The customer observed multiple falsely elevated architect creatinine results from a patient sample. The initial result was 6. 72 mg/dl and repeat results (same instrument) were 6. 72 and 6. 63 mg/dl. The customer uses a reference range of 0. 57-1. 25 mg/dl. As a result, the patient was sent for a redraw and repeat testing was normal (no specific result provided). No other impact to patient management was reported. The customer reported there were no issues with sample collection/handling nor with sample integrity and that other assays were performed on the same sample without any issue. An aliquot of the original sample was sent to (b)(6) for testing (cobas 710 instrument, creatinine jaffe method) and yielded a result of 2. 646. Additional testing (ex. Bun) correlated with the creatinine redraw normal result, patient history and previously reported results.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1628664-2019-00023
MDR Report Key8245463
Report SourceHEALTH PROFESSIONAL
Date Received2019-01-14
Date of Report2019-01-14
Date of Event2018-11-06
Date Mfgr Received2018-12-16
Device Manufacturer Date2018-01-01
Date Added to Maude2019-01-14
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 CREATININE
Generic NameCREATININE
Product CodeCGX
Date Received2019-01-14
Catalog Number03L81-22
Lot Number75410UN17
Device Expiration Date2019-05-13
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
10 2019-01-14

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