FDA Adverse Event Malfunction Summary report: N

ABL800 FLEX

MDR report key: 20210770 · Received September 13, 2024

Report

Report Number
3002807968-2024-00056
Event Type
Malfunction
Date Received
September 13, 2024
Date of Event
August 22, 2024
Report Date
October 28, 2024
Manufacturer
RADIOMETER MEDICAL APS
Product Code
CHL
UDI-DI
05700693938004
PMA / PMN Number
K041874
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE RADIOMETER INVESTIGATION IS CONCLUDED AND HAS TRACED THE CAUSE BACK TO THE USER. THIS INCIDENT IS THEREFORE NO LONGER CONSIDERED REPORTABLE.

Description of Event or Problem · 0

ACCORDING TO THE COMPLAINT THE CUSTOMER EXPERIENCED FREQUENT PH PATIENT RESULT ISSUES (MEASUREMENTS UNSTABLE). THIS IS AN ISSUE OCCURRING WITH TWO ABL800 ANALYZERS ((B)(6)) WITH PH ELECTRODE (PART 945-614) INSTALLED AT THE SAME LOCATION. THE ERROR FIRST OCCURRED ON (B)(6) 2024. SINCE (B)(6) 2024, THERE HAVE BEEN 3 OCCURRENCES OF THE SAME ISSUE, BUT ALL WERE RESOLVED BY REPLACING THE PH ELECTRODE. FINALLY, THE ELECTRODE WAS REPLACED ON (B)(6) 2024, AND THE ERROR HAS RECURRED SINCE EARLY AUGUST. THIS REPORT IS FOR (B)(4). SAMPLE / PATIENT ID, MEASUREMENT TIME AND DATE, PARAMETER RESULT, DISCREPANT, MEASUREMENT, ANALYZER S/N; (B)(6), 08:34 (B)(6) 2024, PH 7.539, X, (B)(6); 08:40 (B)(6) 2024, PH 7.529 , X, (B)(6); 09:02 (B)(6) 2024, PH 7.522, (B)(6). (B)(6), 07:28 (B)(6) 2024, PH 7.402, X, (B)(6). 07:34 (B)(6) 2024, PH 7.409, (B)(6).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1564249 ABL800 FLEX ABL800 FLEX CHL RADIOMETER MEDICAL APS 393-800 05700693938004

Patients

Seq Age Sex Outcome Treatment
1 72 YR Female