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 2019-02-20 for CLINICAL CHEMISTRY CREATININE 03L81-22 manufactured by Abbott Manufacturing Inc.
[137142396]
Patient identifier: multiple = sid (b)(6) and sid (b)(6). An evaluation is in process. A follow-up report will be submitted when the evaluation is complete. There is no further patient information provided due to privacy issues.
Patient Sequence No: 1, Text Type: N, H10
[137142397]
The customer reported falsely elevated creatinine results on the architect analyzer for one patient. The results provided were: sid (b)(6) on (b)(6) 2018 = 25. 86mg/l (2. 59mg/dl)/ repeat = 25. 36mg/l (2. 54mg/dl) / repeated on (b)(6) 2018 = 24. 23mg/l (2. 42mg/dl) / sample sent to another site with an architect and the result was normal. The patient returned on (b)(6) 2019, sid (b)(6) = 7. 14mg/l (0. 71mg/dl) / 6. 93mg/l (0. 69mg/dl). There was no reported impact to patient management.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1628664-2019-00150 |
MDR Report Key | 8355748 |
Report Source | FOREIGN,HEALTH PROFESSIONAL |
Date Received | 2019-02-20 |
Date of Report | 2019-04-29 |
Date of Event | 2018-12-26 |
Date Mfgr Received | 2019-04-16 |
Device Manufacturer Date | 2018-07-23 |
Date Added to Maude | 2019-02-20 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | NOEMI ROMERO-KONDOS, RN BSN |
Manufacturer Street | 100 ABBOTT PARK ROAD DEPT. 09B9, LCCP1-3 |
Manufacturer City | ABBOTT PARK IL 600643537 |
Manufacturer Country | US |
Manufacturer Postal | 600643537 |
Manufacturer Phone | 224667-512 |
Manufacturer G1 | ABBOTT MANUFACTURING INC |
Manufacturer Street | 1921 HURD DRIVE |
Manufacturer City | IRVING TX 75038 |
Manufacturer Country | US |
Manufacturer Postal Code | 75038 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | CLINICAL CHEMISTRY CREATININE |
Generic Name | CREATININE |
Product Code | CGX |
Date Received | 2019-02-20 |
Catalog Number | 03L81-22 |
Lot Number | 64131UN18 |
Device Expiration Date | 2019-11-22 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | ABBOTT MANUFACTURING INC |
Manufacturer Address | 1921 HURD DRIVE IRVING TX 75038 US 75038 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2019-02-20 |