FDA Adverse Event Malfunction Summary report: N

I-STAT TROPONIN (CTNI) CARTRIDGE

MDR report key: 2142636 · Received June 21, 2011

Report

Report Number
2245578-2011-00088
Event Type
Malfunction
Date Received
June 21, 2011
Date of Event
May 27, 2011
Report Date
June 16, 2011
Manufacturer
ABBOTT POINT OF CARE CANADA LTD.,
Product Code
MMI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). CARTRIDGE LOT INFORMATION PROVIDED ON (B)(4) 2011: LOT #: T11075, MANUFACTURE DATE: 03/16/2011, EXPIRATION DATE: 10/14/2011.

Description of Event or Problem · 1

ON (B)(6) 2011, ABBOTT POINT OF CARE WAS CONTACTED BY A CUSTOMER REGARDING AN I-STAT TROPONIN CARTRIDGE THAT YIELDED A POTENTIAL FALSE POSITIVE RESULT ON A PATIENT. ON (B)(6) 2011, THE FOLLOWING RESULTS WERE OBTAINED: 2.47 NG/ML ON THE I-STAT (LOT# T11054), 2.43 NG/ML ON THE I-STAT, SAME SAMPLE (LOT# T11075), 4.97 NG/ML ON THE SIEMENS VISTA (SPUN DOWN, RAN PLASMA). PATIENT WAS SENT TO CATH LAB FOR BALLOON PROCEDURE BASED ON CTNI 2.47. PHYSICIAN IS QUESTIONING ALL RESULTS BECAUSE THE CARDIAC CATH DID NOT SHOW SIGNS OF A POSITIVE TROPONIN RESULT. THE CUSTOMER FEELS THAT HETEROPHILE ANTIBODIES ARE A STRONG CASE FOR THE OBSERVED ISSUE AFTER DISCUSSIONS WITH THE PATHOLOGIST. BASED ON THE INFORMATION AVAILABLE, THERE WERE NO INJURIES ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 I-STAT TROPONIN (CTNI) CARTRIDGE CTNI CARTRIDGE MMI ABBOTT POINT OF CARE CANADA LTD., NA T11054

Patients

Seq Age Sex Outcome Treatment
1 UNK