FDA Adverse Event Malfunction Summary report: N

TRIAGE D-DIMER PANEL

MDR report key: 14430991 · Received May 18, 2022

Report

Report Number
3013982035-2022-00005
Event Type
Malfunction
Date Received
May 18, 2022
Report Date
May 17, 2022
Manufacturer
QUIDEL CARDIOVASCULAR INC.
Product Code
GHH
PMA / PMN Number
K042890
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION CONCLUSION: THE CUSTOMER'S COMPLAINT WAS NOT REPLICATED DURING IN-HOUSE TESTING OF RETAINED DEVCES OF LOT NUMBER T12496N. RETAINS OF THE COMPLAINT LOT WERE TESTED WITH A POSITIVE CALIBRATOR, NO ISSUES WITH D-DIMER RECOVERY WERE OBSERVED. LOT PERFORMED WITHIN SPECIFICATION. MANUFACTURING BATCH RECORDS FOR LOT T12496N WERE REVIEWED AND FOUND THAT THE LOT MET FINAL RELEASE SPECIFICATIONS. BASED ON THE INFORMATION AVAILABLE, THERE IS NO INDICATION OF A PRODUCT DEFICIENCY AND NO CORRECTION ACTION IS REQUIRED.

Description of Event or Problem · 0

CUSTOMER REPORTED POOR TRIAGE D-DIMER CORRELATION WITH ACL ELITE. THEY STATED THAT THE CORRELATION FAILED. RESULTS: SAMPLE NUMBER 6,7,8,9,10,12,13,14, AND 15 DID NOT CORRELATE WITH RESPECTIVE CUTOFFS. THE ACL USES A 250 CUT OFF FOR NEGATIVES, ANYTHING BELOW 250 IS CONSIDERED NEGATIVE, ANYTHING ABOVE IS CONSIDERED POSITIVE. PROPOSED CUTOFF FOR TRIAGE IS 350. NO MEDICAL DECISIONS HAVE BEEN MADE FROM THIS DATA ANALYSIS. IT WAS DONE FOR STUDY/IMPLEMENTATION PURPOSES ONLY. NO AE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2754807 TRIAGE D-DIMER PANEL TRIAGE D-DIMER PANEL GHH QUIDEL CARDIOVASCULAR INC. 98100 T12496N

Patients

Seq Age Sex Outcome Treatment
1 Unknown TRIAGE METERPRO PN: 55070, (B)(4)