I-STAT TROPONIN (CTNI) CARTRIDGE
Report
- Report Number
- 2245578-2011-00171
- Event Type
- Malfunction
- Date Received
- August 31, 2011
- Date of Event
- August 4, 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
(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.
ON (B)(6) 2011, ABBOTT POINT OF CARE WAS CONTACTED BY A CUSTOMER REGARDING I-STAT TROPONIN CARTRIDGES THAT YIELDED DISCREPANT RESULT OF 0.12 NG/ML ON A PATIENT. RESULTS (NG/ML): (B)(6) 2011 22:35 COLLECTION; (B)(6) 2011 22:42 TESTING WITH RESULT OF <0.01; (B)(6) 2011 00:00 90 MINUTE COLLECTION; (B)(6) 2011 00:23 90 MINUTE TESTING WITH RESULT OF 0.12; (B)(6) 2011 00:48 90 MINUTE REPEAT TESTING, RESULT OF <0.01. NO TESTING PERFORMED IN THE LAB. 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 | T11118A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 52 YR |