I-STAT CHEM8+ CARTRIDGE
Report
- Report Number
- 2245578-2025-00065
- Event Type
- Malfunction
- Date Received
- June 17, 2025
- Date of Event
- June 2, 2025
- Report Date
- September 9, 2025
- Manufacturer
- ABBOTT POINT OF CARE
- Product Code
- JPI
- PMA / PMN Number
- K183680
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
APOC INCIDENT: # (B)(4) (CARTRIDGE). APOC INCIDENT: # (B)(4) (ANALYZER). THE INVESTIGATION WAS COMPLETED ON 04-SEP-2025. THE CUSTOMER REPORTED THAT ANALYZER S/N (B)(6) WAS GIVING DISCREPANT POTASSIUM (K) PATIENT RESULTS USING I-STAT CHEM8+ CARTRIDGE LOT H25042A, WHEN COMPARED TO RESULTS OBTAINED FROM AN ED LABORATORY ANALYZER. THE CUSTOMER ALSO MENTIONED THAT THE I-STAT ANALYZER TEST RESULTS WERE TOO HIGH. FOR INCIDENT (B)(4): FAILURE ANALYSIS COULD NOT BE PERFORMED AS ANALYZER S/N (B)(6) HAS NOT BEEN RETURNED TO FLEX. A ROCKETWARE SEARCH SPANNING THREE MONTHS REVEALED NO SIMILAR INCIDENTS AND NO EVIDENCE OF A TREND. NO DEFICIENCY HAS BEEN IDENTIFIED.
APOC INCIDENT # (B)(4). ANALYZER TO BE INVESTIGATED SEPARATELY IN INCIDENT# (B)(4). PRODUCT#: 04P75-41, DESCRIPTION: I-STAT 1, SN: (B)(6). APOC LABELING WILL BE EVALUATED DURING THE INVESTIGATION AS PERTAINING TO THE EVENT.
APOC INCIDENT: # (B)(4). THE INVESTIGATION WAS COMPLETED ON 15-JUL-2025. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) CONFIRMED THE CARTRIDGE LOT MET FINISHED GOODS RELEASE CRITERIA. RETAINED AND RETURNED TESTING MET THE ACCEPTANCE CRITERIA FOUND IN Q04.01.003 REV. AO, APPENDIX 1 - PRODUCT COMPLAINT LEVEL 2 AND LEVEL 3 INVESTIGATION PROCEDURE. NO DEFICIENCY HAS BEEN DETERMINED FOR CHEM8+ CARTRIDGE LOT H25042A.
ON (B)(6) 2025, ABBOTT POINT OF CARE WAS CONTACTED BY A CUSTOMER REGARDING I-STAT CHEM8+ CARTRIDGE AND I-STAT 1 ANALYZER SN (B)(6) THAT YIELDED A DISCREPANT POTASSIUM RESULT ON A 64-YEAR-OLD FEMALE PATIENT IN FOR DIALYSIS. THERE WAS NO ADDITIONAL INFORMATION AT THE TIME OF THIS REPORT. RETURN PRODUCT IS AVAILABLE FOR INVESTIGATION. I-STAT SN (B)(6) IS BEING REPLACED AND WILL BE INVESTIGATED SEPARATELY. METHOD DATE: COLLECTED TESTED: K (MMOL/L): SAMPLE: I-STAT ON (B)(6) 2025 , 13:45 , 13:45 , 6.6 , A, I-STAT ON (B)(6) 2025, 13:49 , 13:49 , 7.3 , B, ED LAB ON (B)(6) 2025, NI , NI , NORMAL, C. ACUTUAL RESULT NOT PROVIDED. AT THIS TIME THERE IS NO REASON TO SUSPECT A MALFUNCTION EXISTS. THE REPORTING DECISION WAS BASED ON THE LIMITED INFORMATION AVAILABLE THAT SUGGESTED THAT PRODUCT WAS NOT PERFORMING WITHIN THE VARIABILITY. THE INVESTIGATION IS UNDERWAY.
NA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1448327 | I-STAT CHEM8+ CARTRIDGE | CHEM8+ CARTRIDGE | JPI | ABBOTT POINT OF CARE | NA | H25042A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Female |