FDA Adverse Event Malfunction Summary report: N

ABL90 FLE

MDR report key: 4097944 · Received September 5, 2014

Report

Report Number
3002807968-2014-00040
Event Type
Malfunction
Date Received
September 5, 2014
Date of Event
July 24, 2014
Report Date
August 5, 2014
Manufacturer
RADIOMETER MEDICAL APS
Product Code
CHL
PMA / PMN Number
K092686
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
EI
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE ANALYZER WAS INSPECTED BY A TECHNICIAN AND HE CONFIRMED THAT THE ANALYZER WORKED CORRECTLY. DATA LOGS FROM THE ANALYZER HAVE BEEN INVESTIGATED. THE INVESTIGATION INDICATED THAT THE EVENT WAS CAUSED BY A USER ERROR. ACCORDING TO THE DATA LOGS THE ANALYZER WAS IN STATUS 'READY' BEFORE THE USER TRIED TO ASPIRATE A C65UL SAMPLE AT 10:02 AND AGAIN AT 10:04. BOTH TIMES THE ANALYZER GAVE ERROR MESSAGE ' (1271) FAILED TO ASPIRATE SAMPLE' MEANING 'ASPIRATION FAILED SAMPLE NOT DETECTED' ACCORDING TO THE SERVICE MANUAL. THE ONLY TROUBLE SHOOTING DONE BY THE USER WAS TO REMOVE THE SAMPLE INSERT THE SAME SAMPLE AGAIN. THE NEXT SAMPLE WAS RUN AT 13:23 WITHOUT ANY PROBLEMS. THUS, THE COURSE OF EVENTS REPORTED BY THE USER COULD NOT BE CONFIRMED BY THE DATA LOGS.

Description of Event or Problem · 1

ACCORDING TO THE CUSTOMER, THE ANALYZER STARTED TO CALIBRATE AND FOLLOWING THIS WENT INTO CLEANING MODE WHEN ATTEMPTING TO TEST A FETAL BLOOD SAMPLE. NO PATIENTS WERE AFFECTED BY THIS EVENT AS THE SAMPLES WERE SENT TO THE LAB.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
546372 ABL90 FLE BLOOD GAS ANALYZER CHL RADIOMETER MEDICAL APS ABL90 FLEX

Patients

Seq Age Sex Outcome Treatment
1