FDA Adverse Event
Malfunction
Summary report: N
I-STAT EG7+ CARTRIDGE
MDR report key: 2112650
·
Received April 28, 2011
Report
- Report Number
- 2245578-2011-00055
- Event Type
- Malfunction
- Date Received
- April 28, 2011
- Date of Event
- March 30, 2011
- Report Date
- April 28, 2011
- Manufacturer
- ABBOTT POINT OF CARE
- Product Code
- CEM
- 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) 2011, ABBOTT POINT OF CARE WAS CONTACTED BY A CUSTOMER REGARDING DISCREPANT RESULTS BETWEEN THE I-STAT AND OLYMPUS FOR POTASSIUM AND THE I-STAT AND BECKMAN COULTER FOR HEMOGLOBIN. AT 7:07:19AM, I-STAT HEMOGLOBIN 6.5, I-STAT POTASSIUM 2.9. BECKMAN HEMOGLOBIN 8.8, OLYMPUS POTASSIUM 3.8. AT 12:20PM, A SECOND SAMPLE WAS DRAWN WITH THE FOLLOWING RESULTS: I-STAT HEMOGLOBIN 10.9, I-STAT POTASSIUM 4.9. BECKMAN HEMOGLOBIN 10.9, OLYMPUS POTASSIUM 5.2. BASED ON THE INFO AT THE TIME, THERE WERE NO INJURIES ASSOCIATED WITH THE EVENT. THE INITIAL LOW HGB RESULTS GENERATED BY THE I-STAT ANALYZER WERE NOT REPORTED OUTSIDE THE LAB. BASED ON THE INFO PROVIDED, THE TRANSFUSION DECISION WAS BASED ON THE BECKMAN ANALYZER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | I-STAT EG7+ CARTRIDGE | EG7+ CARTRIDGE | CEM | ABBOTT POINT OF CARE | N10335 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 57 YR |