FDA Adverse Event Other Summary report: N

AEROSET ANALYZER

MDR report key: 731786 · Received June 26, 2006

Report

Report Number
1628664-2006-00062
Event Type
Other
Date Received
June 26, 2006
Date of Event
March 6, 2006
Report Date
April 26, 2006
Manufacturer
ABBOTT MANUFACTURING, INC.
Product Code
JJE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS IS AN INITIAL REPORT. AN INVESTIGATION IS IN PROCESS. A FINAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

A PATIENT SAMPLE GENERATED A POTASSIUM RESULT OF 2.5 MMOL/L USING AN AEORSET ANALYZER (ANALYZER #1). THE SAMPLE WAS THEN REPEATED YIELDING A POTASSIUM RESULT OF 3.5 MMOL/L USING ANOTHER AEROSET ANALYZER (ANALYZER #2). THE 3.5 MMOL/L RESULT WAS REPORTED. A LABORATORY TECHNICIAN DISCOVERED THE DIFFERENCE BETWEEN THE TWO RESULTS AND REPEATED THE SAMPLE USING ANALYZER #2 OBTAINING A 2.6 MMOL/L RESULT. THE SAMPLE WAS THEN REPEATED USING AN ALTERNATE METHOD (OMNI) OBTAINING A RESULT OF 2.4 MMOL/L. A CORRECTED REPORT WAS SENT OUT WITH A 2.6 MMOL/L RESULT AND THE DOCTOR WAS INFORMED WITH NO IMPACT TO PATIENT MANAGEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AEROSET ANALYZER AUTOMATED CHEMISTRY ANALYZER JJE ABBOTT MANUFACTURING, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN AEROSET ICT MODULE LOT#: AA50819045 , LIST 9D28-02