FDA Adverse Event Other Summary report: N

ABL80 FLEX ANALYZER

MDR report key: 2685394 · Received July 31, 2012

Report

Report Number
2027541-2012-00036
Event Type
Other
Date Received
July 31, 2012
Report Date
July 4, 2012
Manufacturer
SENDX MEDICAL, INC.
Product Code
CHL
PMA / PMN Number
K051804
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

AS THE DEFICIENCY EXPRESSED BY THE CUSTOMER RESEMBLES THAT OF A PREVIOUSLY REPORTED MDR, THIS EVENT WILL BE REPORTED AS AN MDR ACCORDING TO THE 2-YEAR ASSUMPTION RULE EVEN THOUGH NO EVIDENCE OF A MALFUNCTION COULD BE ESTABLISHED.

Description of Event or Problem · 1

A CUSTOMER REPORTED PO2 RESULTS FROM AN ABL80 FLEX ANALYZER THAT WERE UP TO 20 MMHG LOWER THAN EXPECTED BY PHYSICIAN. THE SAMPLES WERE FROM ADULT PTS AND COLLECTED IN CAPILLARY TUBES. THE REPORTED RESULTS WERE NOT USED FOR ANY PT DIAGNOSIS OR TREATMENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1