ALINITY C CALCIUM 07P57-20

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 2019-04-15 for ALINITY C CALCIUM 07P57-20 manufactured by Abbott Germany.

Event Text Entries

[142211397] 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


[142211398] The customer observed falsely elevated calcium results on the alinity c analyzer. The following data was provided: sid (b)(6): initial 5. 03, repeat 2. 46 mmol/l. There was no impact to patient management reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3002809144-2019-00200
MDR Report Key8516010
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2019-04-15
Date of Report2019-06-28
Date Mfgr Received2019-06-27
Device Manufacturer Date2018-07-13
Date Added to Maude2019-04-15
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 GERMANY
Manufacturer StreetMAX-PLANCK-RING 2
Manufacturer CityWIESBADEN 65205
Manufacturer CountryGM
Manufacturer Postal Code65205
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameALINITY C CALCIUM
Generic NameCALCIUM
Product CodeCJY
Date Received2019-04-15
Catalog Number07P57-20
Lot Number32866UN18
Device Expiration Date2019-05-23
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerABBOTT GERMANY
Manufacturer AddressMAX-PLANCK-RING 2 WIESBADEN 65205 GM 65205


Patients

Patient NumberTreatmentOutcomeDate
10 2019-04-15

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