EPOC HOST 2 MOTOROLA 10736387

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2020-03-12 for EPOC HOST 2 MOTOROLA 10736387 manufactured by Epocal Inc..

Event Text Entries

[183179174] Siemens has requested additional information several times to properly assess this event but to date it has not been provided. The data files have been received for investigation. The customer stated the qc was performing as expected at the time of the event. Twenty cards of lot 01-19291-20 were tested in the epocal r&d lab. All twenty cards reported na+ and k+ results within expected correlation to abl. No sample delivery errors were observed. Siemens investigators also reviewed the lab results. Both na+ and k+ are acceptable on the in-house tests and well centered within the post drift and delta drift limits. Approximately 11,950 cards were released from lot 01-19291-20. There have been no other complaints. The cause of this issue is unknown.
Patient Sequence No: 1, Text Type: N, H10


[183179176] The customer reported that the epoc host/reader did not provide sample results for approximately five days on a critically ill patient. The patient is diseased. The system appears to be working as intended by giving error messages to indicate no results could be reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3002637618-2020-00010
MDR Report Key9826159
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2020-03-12
Date of Report2020-03-12
Date of Event2020-02-16
Date Mfgr Received2020-02-21
Date Added to Maude2020-03-12
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 ContactFELIX AKINRINOLA
Manufacturer Street2 EDGEWATER DRIVE
Manufacturer CityNORWOOD, MA
Manufacturer CountryUS
Manufacturer Phone7052212
Manufacturer G1EPOCAL INC.
Manufacturer Street2060 WALKLEY ROAD
Manufacturer CityOTTAWA, ONTARIO K1G 3P5
Manufacturer CountryCA
Manufacturer Postal CodeK1G 3P5
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameEPOC HOST 2 MOTOROLA
Generic NameEPOC HOST
Product CodeCGL
Date Received2020-03-12
Catalog Number10736387
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerEPOCAL INC.
Manufacturer Address2060 WALKLEY ROAD OTTAWA, ONTARIO K1G 3P5 CA K1G 3P5


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-12

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