FDA Adverse Event Malfunction Summary report: N

ABL80 FLEX

MDR report key: 17056367 · Received June 2, 2023

Report

Report Number
2027541-2023-00001
Event Type
Malfunction
Date Received
June 2, 2023
Date of Event
April 26, 2023
Report Date
June 30, 2023
Manufacturer
SENDX MEDICAL, INC.
Product Code
CHL
UDI-DI
0570069393839
PMA / PMN Number
K051804
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ON JUNE 14TH, 2023, THE CUSTOMER PROVIDED THE PRODUCT INFORMATION: " FAILING PART: ABL80 FLEX BASIC SENSOR CASSETTE P/N: 945-785, L/N: 350163, S/N: (B)(6)", IN WHICH CONFIMING THAT THE PRODUCT IS NOT BEING MARKETED IN THE US. THEREFORE, IT IS CONLUDED THAT THIS CASE IS NOT SUBJECT FOR MDR REQUIREMENTS.

Description of Event or Problem · 0

ACCORDING TO THE COMPLAINT, THE CUSTOMER EXPERIENCED DISCREPANT RESULT ON PO2 WHEN USING AN ABL80 FLEX ANALYZER BASIC VERSION 304055. TWO BLOOD PRESSURE MEASUREMENTS WERE COLLECTED, THE FIRST MEASUREMENT WAS 93 MMHG, AND THE SECOND MEASUREMENT WAS 71 MMHG. BOTH MEASUREMENTS WERE TAKEN WITH TWO SAMPLES OF BLOOD. IT HAS NOT BEEN SPECIFIED WHICH MEASUREMENT IS CONSIDERED DISCREPANT. NO MATTER WHETHER THIS IS CONSIDERED AS A DISCREPANT FALSE HIGH (FH) OR FALSE LOW (FL) PO2 MEASUREMENT ON ABL80, THIS COULD POTENTIALLY LEAD TO HARM OF SEVERITY 4 (PERMANENT (SERIOUS)) FOR NEWBORNS ACCORDING TO INTERNAL ASSESSMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
218296 ABL80 FLEX ABL80 FLEX BLOOD-GASES ANALYZER CHL SENDX MEDICAL, INC. 393-839 0570069393839

Patients

Seq Age Sex Outcome Treatment
1 Unknown