BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    I-STAT CHEM8+ CARTRIDGE

    MDR report key: 16646249 · Received March 30, 2023

    Report

    Report Number
    2245578-2023-00027
    Event Type
    Malfunction
    Date Received
    March 30, 2023
    Date of Event
    March 19, 2023
    Report Date
    April 19, 2023
    Manufacturer
    ABBOTT POINT OF CARE
    Product Code
    JGS
    UDI-DI
    10054749001917
    PMA / PMN Number
    K053110
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    APOC INCIDENT # (B)(4). ADDITIONAL PRODUCT TO BE INVESTIGATED. DESCRIPTION: CG8+. LOT#: W22291. PRODUCT #: 600-9001-25. PMA/510K#: K940918. UDI: (B)(4). MFG DATE: 18-OCT-2022. EXPIRY DATE: 23-JUN-2023. APOC LABELING WILL BE EVALUATED DURING THE INVESTIGATION AS PERTAINING TO THE EVENT.

    Additional Manufacturer Narrative · 0

    APOC INCIDENT: # (B)(4) THE INVESTIGATION WAS COMPLETED ON 18-MAR-2023. A REVIEW OF THE DEVICE HISTORY RECORDS (DHRS) CONFIRMED THE CARTRIDGE LOTS MET FINISHED GOODS RELEASE CRITERIA. RETAINED CARTRIDGE TESTING MET THE ACCEPTANCE CRITERIA FOUND IN Q04.01.003 REV. AK, APPENDIX 1 - PRODUCT COMPLAINT LEVEL 2 AND LEVEL 3 INVESTIGATION PROCEDURE. NO DEFICIENCY HAS BEEN DETERMINED FOR CHEM8+ CARTRIDGE LOT H22316 OR CG8+ CARTRIDGE LOT W22291.

    Description of Event or Problem · 0

    ON (B)(6) 2023, ABBOTT POINT OF CARE (APOC) WAS CONTACTED BY A CUSTOMER REGARDING I-STAT CHEM8+ CARTRIDGE THAT YIELDED DISCREPANT POTASSIUM RESULTS ON A PATIENT. THERE WAS NO ADDITIONAL PATIENT INFORMATION AT THE TIME OF THIS REPORT. METHOD, DATE TESTED, RESULT, SAMPLE, CARTRIDGE, LOT#: I-STAT (B)(6) 2023 10:46 2.0 MEQ/L B CHEM8+ H22316; VS2 (B)(6) 2023 02:15 2.6 MMOL/L B CHEM8+ H22316; I-STAT (B)(6) 2023 20:39 3.0 MEQ/L C CG8+ W22291;VS2 (B)(6) 2023 21:21 4.6 MMOL/L C CG8+ W22291; I-STAT (B)(6) 2023 02:51 3.1 MEQ/L A CHEM8+ H22316; VS2 (B)(6) 2023 03:39 4.2 MMOL/L A CHEM8+ H22316. AT THIS TIME THERE IS NO REASON TO SUSPECT A MALFUNCTION EXISTS. THE REPORTING DECISION WAS BASED ON THE LIMITED INFORMATION AVAILABLE THAT SUGGESTED THAT PRODUCT WAS NOT PERFORMING WITHIN THE VARIABILITY. THE INVESTIGATION IS UNDERWAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    591591 I-STAT CHEM8+ CARTRIDGE CHEM8+ CARTRIDGE, JGS ABBOTT POINT OF CARE NA H22316 10054749001917

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown