FDA Adverse Event Malfunction Summary report: N

ABL800 FLEX

MDR report key: 3802019 · Received February 12, 2014

Report

Report Number
3002807968-2014-00004
Event Type
Malfunction
Date Received
February 12, 2014
Date of Event
January 2, 2014
Report Date
January 9, 2014
Manufacturer
RADIOMETER MEDICAL APS
Product Code
CHL
PMA / PMN Number
K041874
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE ROOT CAUSE INVESTIGATION IS NOT YET COMPLETED. DATA LOGS FORM THE INSTRUMENT HAVE BEEN RECEIVED AND INVESTIGATED, BU THE INVESTIGATION DID NOT REVEAL ANYTHING ABNORMAL. THE CUSTOMER HAS BEEN REQUESTED TO SEND A LIST SHOWING THE LEVEL OF THE DEVIATION FOR THE HIGH NA+ AND CA++ RESULTS. ALSO INFORMATION ABOUT WHETHER THIS PROBLEM HAS BEEN OBSERVED PREVIOUSLY OR IF THIS COULD BE A SINGLE EVENT HAS BEEN REQUESTED.

Description of Event or Problem · 1

ACCORDING TO THE CUSTOMER, THE HEALTH CARE PERSONNEL OBSERVED THAT THE ABL 827 ANALYZER HAD BEEN GIVING HIGHER RESULTS THAN USUAL FOR NA++ AND CA++ IN THE PERIOD BETWEEN 07:00 H AND 13:00 H. THE CENTRAL LAB WAS CONTACTED AND THEY REPLACED THE REFERENCE MEMBRANE. AFTER THAT, THE ABL MEASURED CORRECTLY. THE HEALTH CARE PERSONNEL CHECKED ALL 50 TEST RESULTS FORM THE RELEVANT PERIOD AND AFTER CONSULTATION WITH THE RESPONSIBLE DOCTORS, 10 RESULTS WERE DISCARDED. THE HOSPITAL HAD TO RE-RUN SOME OF THE SAMPLES, BUT NO PATIENTS WERE AFFECTED BY THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
92887 ABL800 FLEX ABL827 CHL RADIOMETER MEDICAL APS ABL827

Patients

Seq Age Sex Outcome Treatment
1