FDA Adverse Event Malfunction Summary report: N

ABL90 FLEX ANALYZER

MDR report key: 14914197 · Received July 5, 2022

Report

Report Number
3002807968-2022-00024
Event Type
Malfunction
Date Received
July 5, 2022
Date of Event
June 18, 2022
Report Date
July 27, 2022
Manufacturer
RADIOMETER MEDICAL APS
Product Code
CHL
UDI-DI
05700693930909
PMA / PMN Number
K092686
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE RADIOMETER INVESTIGATION HAS FOUND THAT THE ROOT CAUSE WAS DUE TO PRE-ANALYTICAL SAMPLE PREPARATION, WHERE THE SAMPLE WAS NOT HOMOGENEOUS. THIS LED TO THE REPORTED DISCREPANT RESULTS. HENCE THE ABL90 FLEX ANALYZER WAS FOUND TO HAVE NOT FAILED.

Description of Event or Problem · 0

ACCORDING TO THE COMPLAINT, ON (B)(6) 2022 A SAMPLE WAS MEASURED ON THE ABL90 FLEX ANALYZER (SERIAL NUMBER: (B)(4)) AND THE FOLLOWING MEASUREMENTS WERE OBTAINED ON THE SODIUM (NA) PARAMETER: 21:38 138 MMOL/L, 21:39 121 MMOL/L, 22:22 107 MMOL/L, 22:24 107 MMOL/L. A CONTROL IONOGRAM WAS CONDUCTED WITH THE SAMPLE AND THE FOLLOWING MEASUREMENT WAS OBTAINED ON THE SODIUM (NA) PARAMETER: 137 MMOL/L (COMPARISON MEASUREMENT). BASED ON THESE MEASUREMENTS, THE CUSTOMER REPORTED THE LAST 3 RESULTS FROM THE ABL90 FLEX ANALYZER AS FALSE LOW.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1480618 ABL90 FLEX ANALYZER ABL90 FLEX ANALYZER CHL RADIOMETER MEDICAL APS 393-090 05700693930909

Patients

Seq Age Sex Outcome Treatment
1 0 YR Female