CLINICAL CHEMISTRY CARBON DIOXIDE 03L80-31

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 2019-02-05 for CLINICAL CHEMISTRY CARBON DIOXIDE 03L80-31 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[137025057] An evaluation is in process. A follow-up report will be submitted when the evaluation is complete.
Patient Sequence No: 1, Text Type: N, H10


[137025058] The customer inquired as to whether an elevated triglyceride result (3642 mg/dl) could cause a falsely depressed co2 result of 11 mmol/l for a patient sample tested on the architect c16000 system. The sample tested at 26 mmol/l using an alternate co2 method. No adverse impact to patient management was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1628664-2019-00096
MDR Report Key8307829
Report SourceHEALTH PROFESSIONAL
Date Received2019-02-05
Date of Report2019-03-21
Date of Event2019-01-08
Date Mfgr Received2019-03-21
Device Manufacturer Date2018-09-14
Date Added to Maude2019-02-05
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 CARBON DIOXIDE
Generic NameCARBON DIOXIDE
Product CodeKHS
Date Received2019-02-05
Catalog Number03L80-31
Lot Number53465UQ08
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
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 2019-02-05

© 2025 FDA.report
This site is not affiliated with or endorsed by the FDA.