FDA Adverse Event Malfunction Summary report: N

TRIAGE PROFILER SOB PANEL

MDR report key: 7434896 · Received April 16, 2018

Report

Report Number
3013982035-2018-00008
Event Type
Malfunction
Date Received
April 16, 2018
Report Date
April 16, 2018
Manufacturer
QUIDEL CARDIOVASCULAR, INC.
Product Code
DAP
UDI-DI
00899722002740
PMA / PMN Number
K080269
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION CONCLUSION: THE CUSTOMER'S COMPLAINT WAS NOT REPLICATED WITH IN-HOUSE TESTING OF RETAIN LOT W63556B. NO ISSUES WITH TNI RECOVERY WERE OBSERVED. MANUFACTURING BATCH RECORDS FOR LOT W63556B WERE REVIEWED AND FOUND THAT THE LOT MET FINAL RELEASE SPECIFICATIONS. THE CUSTOMER COULD NOT PROVIDE PATIENT DIAGNOSIS FROM THE HOSPITAL SPECIALIZED IN CARDIOLOGY. THE ONLY INFORMATION AVAILABLE IS PATIENT IS IN GOOD HEALTH CONDITION. BASED ON THE INFORMATION AVAILABLE, THERE IS NO INDICATION OF A PRODUCT DEFICIENCY AND NO CORRECTIVE ACTION IS REQUIRED. ALTHOUGH THIS CATALOG NUMBER (97300EU) IS NOT APPROVED IN THE UNITED STATES, THIS EVENT IS BEING REPORTED AS THE DEVICE IS SAME/SIMILAR TO CATALOG NUMBER 97300, 510(K) NUMBER K080269.

Description of Event or Problem · 1

A PATIENT EXPERIENCED RESPIRATORY DISTRESS AND WAS TESTED FOR CARDIAC MARKERS USING THE TRIAGE SYSTEM. THE TRIAGE SYSTEM PRODUCED RESULTS OF TNI= <0.05 NG/ML AND BNP= 96 PG/ML. AS THE TRIAGE TNI RESULT WAS DETERMINED TO BE NORMAL BY THE CUSTOMER, THE PATIENT WAS TAKEN TO THE EMERGENCY UNIT OF A HOSPITAL INSTEAD OF A HOSPITAL WITH A CARDIOLOGY UNIT. THE PATIENT WAS TESTED IN THE EMERGENCY UNIT BY ANOTHER SERVICE AN HOUR LATER AND RECEIVED RESULTS OF TNI= 0.0792 NG/ML AND BNP= 387 PG/ML (NORMAL TNI CUTOFF FOR THIS INSTRUMENT= 0.034 NG/ML). AS THIS TNI RESULT WAS ABNORMAL, THE DECISION WAS MADE TO TRANSFER THE PATIENT TO ANOTHER HOSPITAL SPECIALIZED IN CARDIOLOGY. THE PATIENT'S DIAGNOSIS PRIOR TO TRANSFER WAS HEART FAILURE AND CORONARY DISTRESS. AS OF MARCH 29, 2018, THE PATIENT IS REPORTED TO BE IN GOOD CONDITION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
277355 TRIAGE PROFILER SOB PANEL KIT, TRIAGE, SOB DAP QUIDEL CARDIOVASCULAR, INC. 97300EU W63566B 00899722002740

Patients

Seq Age Sex Outcome Treatment
1