FDA Adverse Event Malfunction Summary report: N

ABL800 FLEX ANALYZER

MDR report key: 18967543 · Received March 25, 2024

Report

Report Number
3002807968-2024-00017
Event Type
Malfunction
Date Received
March 25, 2024
Date of Event
March 13, 2024
Report Date
June 7, 2024
Manufacturer
RADIOMETER MEDICAL APS
Product Code
CHL
UDI-DI
05700693938004
PMA / PMN Number
K041874
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DATE RECEIVED BY MANUFACTURE IS ESTIMATED BASED ON DATE OF EVENT.

Additional Manufacturer Narrative · 0

RADIOMETER INVESTIGATIONS OF THE PROVIDED DATA SUGGESTS THAT THE DEVIATED MEASUREMENTS WAS DUE TO A BLOOD CLOT DEPOSITED IN FRONT OF THE TIP OF THE REFERENCE ELECTRODE. HENCE THE ROOT CAUSE IS CLOT.

Additional Manufacturer Narrative · 0

G3, DATE RECEIVED BY MANUFACTURE IS UPDATED TO THE DAY WHERE RADIOMETER RECEIVED THE AWARENESS DATE OF 2024-03-15.

Description of Event or Problem · 0

ACCORDING TO THE COMPLAINT, SAMPLES WERE MEASURED ON THE ABL800 FLEX ANALYZER (SERIAL NUMBER: (B)(6) AND THE FOLLOWING SODIUM (NA) MEASUREMENTS WERE OBTAINED. 1) MEASURED ON 12:44-240313: 135 MMOL/L (COMPARISON) 2) MEASURED ON 18:08-240313: 168 MMOL/L 3) MEASURED ON 18:38-240313: 170 MMOL/L 4) MEASURED ON 19:02-240313: 172 MMOL/L 5) MEASURED ON 01:56-240314: 133 MMOL/L (COMPARISON) BASED ON THESE, THE CUSTOMER HAD REPORTED THE 168 MMOL/L, 170 MMOL/L AND 172 MMOL/L NA AS FALSE HIGH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
15050 ABL800 FLEX ANALYZER ABL800 FLEX ANALYZER CHL RADIOMETER MEDICAL APS 393-800 05700693938004

Patients

Seq Age Sex Outcome Treatment
1 86 YR Male