FDA Adverse Event Malfunction Summary report: N

TRIAGE METERPRO

MDR report key: 7136252 · Received December 20, 2017

Report

Report Number
3013982035-2017-00001
Event Type
Malfunction
Date Received
December 20, 2017
Date of Event
November 15, 2017
Report Date
November 22, 2017
Manufacturer
QUIDEL CARDIOVASCULAR INC.
Product Code
KHO
PMA / PMN Number
K973547
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION PENDING.

Additional Manufacturer Narrative · 1

THE CUSTOMERS COMPLAINT WAS NOT REPLICATED DURING IN-HOUSE TESTING OF CUSTOMERS RETURNED TRIAGE METER WITH IN-HOUSE SAMPLES. THE METER PERFORMED PROPERLY AND NO ISSUES WITH TNI RECOVERY WERE OBSERVED. THE DEVICE LOT NUMBER IN USE DURING THE ALLEGED FAILURE COULD NOT BE IDENTIFIED DURING THE INVESTIGATION OF THE RETURNED METER. BASED ON THE INFORMATION AVAILABLE, THERE IS NO INDICATION OF A PRODUCT DEFICIENCY AND NO CORRECTIVE ACTION IS REQUIRED.

Description of Event or Problem · 1

THE CUSTOMER PROVIDED INFORMATION REGARDING THE FOLLOWING EVENT OCCURRING ON TWO PATIENTS: TRIAGE METER PRO PRODUCED NEGATIVE RESULTS FOR BNP AND TROP, AND IN THE LAB THEY WERE POSITIVE. PATIENTS PRESENTED WITH "DEFINITE SYMPTOMS" NO ADDITIONAL INFORMATION PROVIDED. DESPITE MULTIPLE ATTEMPTS THE CUSTOMER COULD NOT PROVIDE THE DEVICE PRODUCT TYPE OR LOT NUMBER USED DURING THE REPORTED EVENT. UNABLE TO CONFIRM IF TNI RESULT WAS OBTAINED ON A PRODUCT SAME/SIMILAR TO A MEDICAL DEVICE DISTRIBUTED IN THE US. CUSTOMER COULD ONLY PROVIDE THE METER USED DURING TESTING. METER IS SAME/SIMILAR TO A PRODUCT DISTRIBUTED IN THE US, THEREFORE MALFUNCTION MDR IS BEING FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
913485 TRIAGE METERPRO TRIAGE METERPRO KHO QUIDEL CARDIOVASCULAR INC. 55071

Patients

Seq Age Sex Outcome Treatment
1