FDA Adverse Event Malfunction Summary report: N

I-STAT TROPONIN (CTNI) CARTRIDGE

MDR report key: 2251786 · Received August 31, 2011

Report

Report Number
2245578-2011-00174
Event Type
Malfunction
Date Received
August 31, 2011
Date of Event
July 25, 2011
Report Date
August 15, 2011
Manufacturer
ABBOTT POINT OF CARE CANADA LTD.
Product Code
MMI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). MFR REPORTS #2245578-2011-00162, AND #2245578-2011-00171 THROUGH 2245578-2011-00183 ARE FROM A SINGLE USER SITE. THE INTERNAL INVESTIGATION IS IN PROGRESS; NO OVERALL TRENDS HAVE BEEN IDENTIFIED IN PRODUCT LOT(S) USED. THE ISSUES APPEAR TO BE ISOLATED TO SPECIFIC SITES. THE SITE HAS INITIATED USE OF A TUBE ROCKING PLATFORM TO ENSURE THE BLOOD SAMPLE IS MIXED WELL (AS RECOMMENDED IN PRODUCT LABELING) WHICH THE SITE REPORTS HAS RESOLVED THE ISSUE.

Description of Event or Problem · 1

ON (B)(6) 2011, ABBOTT POINT OF CARE WAS CONTACTED BY A CUSTOMER REGARDING I-STAT TROPONIN CARTRIDGES THAT YIELDED DISCREPANT RESULT OF 0.14 NG/ML ON A PATIENT. I-STAT RESULTS (NG/ML): (B)(6), 2011, 9:55, COLLECTION. (B)(6) 2011, 10:06, TESTING WITH RESULT OF 0.14. (B)(6) 2011, 11:50, 90 MINUTE, COLLECTION. (B)(6), 2011, 12:01, 90 MINUTE TESTING WITH RESULT OF <0.01. NO REPEAT TESTING PERFORMED. CENTAUR LAB CTNI RESULT <0.006. THE SUSPECTED DISCREPANT RESULTS WERE RELEASED TO THE PHYSICIAN OR CAREGIVER. BASED ON THE INFORMATION AVAILABLE AT THE TIME, 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 T1110A

Patients

Seq Age Sex Outcome Treatment
1 30 YR