FDA Adverse Event Malfunction Summary report: N

I-STAT CG8+ CARTRIDGE

MDR report key: 17001712 · Received May 25, 2023

Report

Report Number
2245578-2023-00062
Event Type
Malfunction
Date Received
May 25, 2023
Date of Event
May 22, 2023
Report Date
June 14, 2023
Manufacturer
ABBOTT POINT OF CARE
Product Code
CHL
UDI-DI
10054749000163
PMA / PMN Number
K940918
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 # 920523. CHEM8+: H23077, 600-9008-25, EXP:14-SEP-2023, MFG: 18-MAR-2023, GTIN: 10054749005519, 510K: K183688. CHEM8+: H23046, 600-9008-25, EXP: 14-AUG-2023, MFG: 15-FEB-2023, GTIN: 10054749005519, 510K: K183688. 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 13-JUN-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 LOTS H23046 OR H23077 OR CG8+ CARTRIDGE LOT W22291.

Description of Event or Problem · 0

ON (B)(6) 2023, ABBOTT POINT OF CARE WAS CONTACTED BY A CUSTOMER REGARDING I-STAT CG8+ & CHEM8+ CARTRIDGES THAT YIELDED SUSPECTED DISCREPANT IONIZED CALCIUM RESULTS ON A PATIENT. THERE WAS NO PATIENT INFORMATION AT THE TIME OF THIS REPORT. THERE WERE NO TEST TIMES/DATE PRESENTED WITH THE RESULTS. METHOD: LOT#: ICA: I-STAT W22291 2.5 MMOL/L, I-STAT H23077 2.5 MMOL/L ADDITIONAL LOT USED, I-STAT H23046 2.4 MMOL/L ADDITIONAL LOT USED, VETSTAT N/A 1.21 (REF RANGE 1.25-1.5). AT THIS TIME THERE IS NO REASON TO SUSPECT A MALFUNCTION EXISTS. THE REPORTING DECISION WAS BASED ON LIMITED INFORMATION AVAILABLE THAT SUGGESTS THE PRODUCT WAS NOT PERFORMING WITHIN THE VARIABILITY OF THE ASSAY. THE INVESTIGATION IS UNDERWAY.

Description of Event or Problem · 0

NA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
848679 I-STAT CG8+ CARTRIDGE CG8+ CARTRIDGE CHL ABBOTT POINT OF CARE NA W22291 10054749000163

Patients

Seq Age Sex Outcome Treatment
1 Unknown