FDA Adverse Event Other Summary report: N

ABL80 FLEX ANALYZER

MDR report key: 2577531 · Received May 11, 2012

Report

Report Number
2027541-2012-00031
Event Type
Other
Date Received
May 11, 2012
Date of Event
February 29, 2012
Report Date
April 12, 2012
Manufacturer
SENDX MEDICAL, INC.
Product Code
CHL
PMA / PMN Number
K051804
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DATA LOGS FROM THE SUBJECT ANALYZER WERE REVIEWED. CALIBRATION AND QUALITY CONTROL RECORDS DEMONSTRATE A PROPERLY FUNCTIONING ANALYZER WITHIN MANUFACTURING SPECIFICATIONS. THE USER PROVIDED COMPARISON DATA COLLECTED AFTER THE EXPERIENCE DOCUMENTED HERE WHICH DEMONSTRATED A MARGINALLY LOW PO2 BIAS WITH SOME RESULTS. THE SENSOR CASSETTE AND SOLUTION PACK USED ON THE ANALYZER DURING THE SUBJECT SAMPLE MEASUREMENT HAVE BEEN REQUESTED FOR RETURN. A FAILURE INVESTIGATION WILL BE PREFORMED UPON RECEIPT OF THESE CONSUMABLE ITEMS.

Description of Event or Problem · 1

ON 04/12/2012 A CLINICIAN REPORTED THAT A PATIENT HAD A CHEST SCAN WITH CONTRAST MEDIA BASED ON THE PO2 RESULTS FROM AN ABL80 FLEX ANALYZER WITH BASIC SOFTWARE THAT WAS LATER CONSIDERED TO BE LOW COMPARED TO THE SATURATION RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ABL80 FLEX ANALYZER PH, BLOOD GAS, ELECTROLYTE ANALYSIS SYS CHL SENDX MEDICAL, INC. 393-839

Patients

Seq Age Sex Outcome Treatment
1 43 YR