FDA Adverse Event Malfunction Summary report: N

TRIAGE CARDIAC TRIPLE MARKER PANEL

MDR report key: 7961878 · Received October 12, 2018

Report

Report Number
3013982035-2018-00028
Event Type
Malfunction
Date Received
October 12, 2018
Date of Event
September 11, 2018
Report Date
October 12, 2018
Manufacturer
QUIDEL CARDIOVASCULAR INC.
Product Code
MMI
PMA / PMN Number
K030286
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION CONCLUSION: THE CUSTOMER'S COMPLAINT WAS NOT REPLICATED DURING IN-HOUSE TESTING WITH RETAINS OF DEVICE LOT W64051RB. NO ISSUES WITH TROPONIN RECOVERY WERE OBSERVED; LOT PERFORMED PROPERLY. MANUFACTURING BATCH RECORDS FOR THE LOT WERE REVIEWED, LOT MET RELEASE SPECIFICATIONS. BASED ON THE INFORMATION AVAILABLE, THERE IS NO INDICATION OF A PRODUCT DEFICIENCY AND NO CORRECTIVE ACTION IS REQUIRED. ALTHOUGH THIS CATALOG NUMBER (97000HSEU) IS NOT APPROVED IN THE UNITED STATES, THIS EVENT IS BEING REPORTED AS THE DEVICE IS SAME/SIMILAR TO CATALOG NUMBER 97000HS, 510(K) NUMBER K030286.

Description of Event or Problem · 1

THE EVENT OCCURRED IN (B)(6). THE ONLY INFORMATION PROVIDED FROM THE CUSTOMER: A PATIENT SAMPLE WAS NEGATIVE ON TRIAGE WITH A TNI RESULT OF <0.05NG/ML ON (B)(6). A SECOND SAMPLE FROM THE SAME PATIENT WAS POSITIVE ON ABBOTT WITH A TNI RESULT OF 564PG/ML. ALTHOUGH REQUESTED, NO OTHER INFORMATION WAS PROVIDED. TRIAGE CUT-OFF: >0.05NG/ML. CUT-OFF FOR ABBOTT WAS NOT PROVIDED; CUSTOMER ONLY STATED THE RESULT OF 564PG/ML WAS POSITIVE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
801381 TRIAGE CARDIAC TRIPLE MARKER PANEL TRIAGE CARDIAC TRIPLE MARKER PANEL MMI QUIDEL CARDIOVASCULAR INC. 97000HSEU W64051RB

Patients

Seq Age Sex Outcome Treatment
1