BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PICCOLO XPRESS CHEMISTRY ANALYZER

    MDR report key: 15735885 · Received November 4, 2022

    Report

    Report Number
    2939693-2022-00007
    Event Type
    Malfunction
    Date Received
    November 4, 2022
    Date of Event
    October 6, 2022
    Report Date
    January 31, 2023
    Manufacturer
    ABAXIS, INC
    Product Code
    JJG
    UDI-DI
    EABA110000001
    PMA / PMN Number
    K934592
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    THIS IS A REPORT FROM A LABORATORY PROFESSIONAL FROM A CLINIC INVOLVING THE PICCOLO XPRESS ANALYZER SERIAL NUMBER (B)(4) USING THE COMPREHENSIVE METABOLIC PANEL (CMP) (PART NUMBER 400-0028). THE LABORATORY HEALTH PROFESSIONAL REPORTED THEY WERE ABLE TO HARMONIZE PICCOLO XPRESS ANALZYER RESULTS ACROSS ALL OF THEIR INSTRUMENTS (ARCTIIC C8000, ISTAT, ARCHITECT) WITH THE EXCEPTION OF POTASSIUM. THE CLINIC'S CONCERN IN THEIR COMPARISON OF THE PICCOLO XPRESS ANALYZER VERSUS THE ARCTIIC C8000 WAS THAT THERE WAS NO BIAS COMPARISON MADE. THE POTASSIUM WAS ON THE HIGH END OF THE REFERENCE RANGE (3.6-5.1 MMOL/L). THE LABORATORY TEAM CONDUCTED AN INDEPENDENT STUDY COMPARING THE PICCOLO XPRESS ANALYZER (INCLUDING 1 LOANER PROVIDED BY ABAXIS) TO OTHER LABORATORY ANALYZERS BEGINNING ON JULY 29, 2022. THE LABORATORY HEALTH PROFESSIONAL CALLED ABAXIS TECHNICAL SUPPORT WITH AN UPDATE STATING THE POTASSIUM RESULTS ON THE PICCOLO MEDIAN BIAS WAS 0.6. ON OCTOBER 6, 2022- THE ABBOTT CORE DIAGNOSTICS GROUP A DISTRIBUTOR OF ABAXIS CONTACTED ABAXIS TECHNICAL SUPPORT STATING THE LABORATORY TEAM CLAIMED A PROBLEM WITH THE PICCOLO XPRESS ANALYZER AND A 10-15% BIAS WITH POTASSIUM. ABAXIS INFORMED THE ABBOTT CORE DIAGNOSTIC GROUP OF EXTENSIVE TROUBLESHOOTING PERFORMED WITH THE LABORATORY TEAM. AFTER MANY ROUNDS OF TESTING AND TROUBLESHOOTING, RESULTS RECEIVED FROM THE LABORATORY TEAM INDICATE THE PICCOLO XPRESS ANALYZER APPEARS TO BE WORKING WITHIN SPECIFICATIONS. THE MAIN POINT OF CONCERN FOR THE LABORATORY TEAM IS THAT THE PICCOLO XPRESS ANALYZER IS NOT HARMONIZING WITH THE LABORATORY'S OTHER PREDICATE ANALYZERS. FEEDBACK WAS PROVIDED TO THE LABORATORY TEAM THAT ABAXIS DOES NOT HOLD ANY CLAIMS OF EQUIVALENCY TO OTHER BRANDED ANALYZERS. THE PICCOLO XPRESS ANALYZER IS A POINT-OF-CARE DEVICE THAT DOES NOT CLAIM EQUIVALENCE TO THE ABBOTT I-STAT OR THE ABBOTT ARCHITECT. THEREFORE, ABAXIS IS UNABLE TO PROVIDE GUIDANCE OR DATA RELATED TO THE PICCOLO XPRESS ANALYZER SPECIFICALLY TO THESE DEVICES. ABAXIS DOES NOT HAVE DATA TO SUPPORT THE EQUIVALENCE OF THE PICCOLO XPRESS ANALYZER SPECIFICALLY TO THE ABBOTT I-STAT OR ABBOTT ARCHITECT AND DOES NOT CLAIM EQUIVALENCE TO ANY OF THE DEVICES WITHIN OUR REGISTRATION. TO FURTHER SUPPORT THE LABORATORY TEAM, ABAXIS TECHNICAL SUPPORT, SECURED USB DRIVES TO OBTAIN A SERVICE ARCHIVE FROM BOTH OF THEIR PICCOLO ANALYZERS. THE DRIVES INCLUDING ANALYZER DATA WERE RECEIVED BY ABAXIS QUALITY FOR INVESTIGATION. THE LABORATORY TEAM DECLINED TO RETURN THE PICCOLO XPRESS ANALYZERS FOR INVESTIGATION AS WELL AS ANY REPLACEMENT ANALYZERS OFFERED DUE TO LIMITED RESOURCES FOR VALIDATION. A FOLLOW-UP WILL BE SUBMITTED PENDING FURTHER INFORMATION RECEIVED.

    Additional Manufacturer Narrative · 0

    ABAXIS TECHNICAL SUPPORT SECURED USB DRIVES TO OBTAIN A SERVICE ARCHIVE FROM THE CUSTOMER'S PICCOLO XPRESS ANALYZERS. THE DRIVES, INCLUDING ANALYZER DATA, WERE RECEIVED BY ABAXIS QUALITY FOR REVIEW. THE EVALUATION CONCLUDED THAT THERE WERE NO FINDINGS WITH THE PICCOLO XPRESS ANALYZERS REQUIRING ACTION. THE PICCOLO XPRESS ANALYZERS ARE PERFORMING AS EXPECTED. THE CUSTOMER DECLINED TO RETURN THE PICCOLO XPRESS ANALYZERS FOR INVESTIGATION AND DECLINED TO RECEIVE REPLACEMENT ANALYZERS. ABAXIS QUALITY CALLED THE CUSTOMER TO FOLLOW UP WITH THE LABORATORY AND PROVIDE FURTHER SUPPORT IF NEEDED. THERE ARE NO FURTHER ACTIONS REQUIRED AT THIS TIME.

    Description of Event or Problem · 0

    A LABORATORY HEALTH PROFESSIONAL REPORTED THEY WERE ABLE TO HARMONIZE PICCOLO XPRESS ANALYZER RESULTS ACROSS ALL OF THEIR INSTRUMENTS (ARCTIIC C8000, ISTAT, ARCHITECT) WITH THE EXCEPTION OF POTASSIUM. WHEN AN ANALYZER'S VALUE IS ABOVE THE UPPER REFERENCE LIMIT, THE ORDERING PHYSICIAN REQUESTS THE SPECIMEN ANALYSIS BE REPEATED ON A DIFFERENT ANALYZER. WHEN THE REPEATED RESULTS ARE LOWER THAN THE PREVIOUS ANALYZER'S VALUE, IT HAS AN EFFECT ON THE PHYSICIAN'S DECISION-MAKING AND ON THE PHYSICIAN'S CONFIDENCE IN THE LAB. THE CLINIC PROCESSES SPECIMENS FOR CANCER PATIENTS. DUE TO THE REPEAT SPECIMEN ANALYSIS, THE CLINIC EXPRESSED CONCERN WITH PATIENT CARE DUE TO THE AMOUNT OF TIME TO GET REPEAT RESULTS BACK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2229105 PICCOLO XPRESS CHEMISTRY ANALYZER PICCOLO ANALYZER JJG ABAXIS, INC 1100-0000 EABA110000001

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown