FDA Adverse Event Malfunction Summary report: N

ABL90 FLEX ANALYZER

MDR report key: 17688163 · Received September 6, 2023

Report

Report Number
3002807968-2023-00038
Event Type
Malfunction
Date Received
September 6, 2023
Date of Event
August 23, 2023
Report Date
January 25, 2024
Manufacturer
RADIOMETER MEDICAL APS
Product Code
CHL
UDI-DI
05700693930909
PMA / PMN Number
K131988
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

RADIOMETER INVESTIGATION OF THE PROVIDED DATA LOGS, SUGGESTED THE PRESENCE OF BLOOD CLOTS. HOWEVER, AS NOT ALL DATA WERE MADE AVAILABLE TO RADIOMETER, IT IS DIFFICULT TO ESTABLISH THE PRECISE MEASUREMENT ERROR AND IF SPECIFICATIONS IS MET.

Additional Manufacturer Narrative · 0

DATE OF EVENT WAS ESTIMATED.

Description of Event or Problem · 0

ACCORDING TO THE COMPLAINT, SAMPLES WERE MEASURED ON THE ABL90 FLEX ANALYZER (SERIAL NUMBER:(B)(6) WITH THE FOLLOWING MEASUREMENTS ON THE CALCIUM PARAMETER OBTAINED: SAMPLE 1 1) (B)(6) 2023, 19:15 MEASURED ON COMPARISON ABL90 FLEX ANALYZER: 1.55 MMOL/L 2) (B)(6)2023, 19:17 MEASURED ON ABL90 FLEX ANALYZER (SERIAL NUMBER: (B)(6)): 0.67 MMOL/L SAMPLE 2 3) (B)(6) 2023, 19:16 MEASURED ON COMPARISON ABL90 FLEX ANALYZER: 1.09 MMOL/L 4) (B)(6) 2023, 19:19 MEASURED ON ABL90 FLEX ANALYZER (SERIAL NUMBER: (B)(6)): 0.69 MMOL/L NEITHER TEST PRESENTED ANY ERRORS CODES IN RELATION TO CA. (ONLY THAT RESULTS WERE BELOW REFERENCE RANGE). VERIFIED CALIBRATION AND QC DATA FOR COMPARISON ABL90 FLEX ANALYZER BEFORE, DURING AND AFTER TESTS. NO ERRORS PRESENT FOR CALIBRATION OR QC. VERIFIED CALIBRATION AND QC DATA FOR THE DISCREPANT ABL90FLEX ANALYZER BEFORE, DURING AND AFTER TESTS, NO ERRORS ON CALIBRATION, QC GENERATED ERRORS AS BELOW: - QC A - CA 0.58 - VALUE(S) BELOW STATISTICAL RANGE. - QC B - CA 0.64 - VALUE(S) BELOW STATISTICAL RANGE. \ 1070: SENSOR RESPONSE ERROR - QC C - NOT RUN, CASSETTE REPLACED. SAMPLES WERE RUN ON 3RD BIOMCHEM ANALYSER TO VERIFY RESULTS. BASED ON THESE, THE CUSTOMER HAS REPORTED THE MEASUREMENTS FROM THE ABL90FLEX ANALYZER (SERIAL NUMBER: (B)(6)) AS FALSE LOW.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2224635 ABL90 FLEX ANALYZER ABL90 FLEX ANALYZER CHL RADIOMETER MEDICAL APS 393-090 05700693930909

Patients

Seq Age Sex Outcome Treatment
1 Unknown