FDA Adverse Event Malfunction Summary report: N

I-STAT CHEM 8+N CARTRIDGE

MDR report key: 1893966 · Received November 3, 2010

Report

Report Number
2245578-2010-00141
Event Type
Malfunction
Date Received
November 3, 2010
Date of Event
October 11, 2010
Report Date
November 3, 2010
Manufacturer
ABBOTT POINT OF CARE CANADA LTD
Product Code
GKF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

ON (B)(6) 2010, ABBOTT POINT OF CARE WAS CONTACTED BY A CUSTOMER WHO REPORTED THE I-STAT CHEM 8+ CARTRIDGE YIELDED A HEMATOCRIT RESULT OF 37% PCV. A SEPARATE SAMPLE, DRAWN AT THE SAME TIME AS THE I-STAT SAMPLE, WAS TESTED ON THE LAB INSTRUMENT AND THE HEMATOCRIT RESULT WAS 15.4% PCV. NO REPEAT LABS PERFORMED. PATIENT WAS NOT TREATED ON EITHER HEMATOCRIT RESULT. PATIENT DIED OF RESPIRATORY FAILURE AT 6:30PM (B)(6) 2010.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 I-STAT CHEM 8+N CARTRIDGE CHEM 8+ CARTRIDGE GKF ABBOTT POINT OF CARE CANADA LTD G10170

Patients

Seq Age Sex Outcome Treatment
1 83 YR