FDA Adverse Event Malfunction Summary report: N

TRIAGE CARDIAC PANEL 25 TEST

MDR report key: 2121288 · Received May 5, 2011

Report

Report Number
2027969-2011-00995
Event Type
Malfunction
Date Received
May 5, 2011
Date of Event
April 13, 2011
Report Date
May 5, 2011
Manufacturer
ALERE SAN DIEGO, INC.
Product Code
MMI
PMA / PMN Number
K030286
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION PENDING.

Description of Event or Problem · 1

CALLER ALLEGED FALSE POSITIVE TROPONIN (TNI) RESULTS USING THE TRIAGE CARDIAC PANEL. EMERGENCY DEPT PT; INITIAL SYMPTOMS: UNK. NO SPECIFIC CLINICAL INFO WAS GIVEN. FULL DRAW, WB-EDTA. REFERENCE RANGES: CK-MB 0.0 TO 8.0. TNI 0.0 TO 0.05. MYO 0.0 TO 149.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRIAGE CARDIAC PANEL 25 TEST CARDIAC MARKER TEST MMI ALERE SAN DIEGO, INC. 97000HS W48769

Patients

Seq Age Sex Outcome Treatment
1