FDA Adverse Event Malfunction Summary report: N

TRIAGE CARDIAC HS PANEL

MDR report key: 9218961 · Received October 22, 2019

Report

Report Number
3013982035-2019-00027
Event Type
Malfunction
Date Received
October 22, 2019
Date of Event
September 6, 2019
Report Date
September 23, 2019
Manufacturer
QUIDEL CARDIOVASCULAR INC.
Product Code
MMI
PMA / PMN Number
K030286
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION CONCLUSION: THE CUSTOMERS COMPLAINT WAS NOT REPLICATED WITH IN-HOUSE TESTING OF RETAIN LOT T10431RN. NO ISSUES WITH TNI RECOVERY WERE OBSERVED. MANUFACTURING BATCH RECORDS FOR LOT T10431RN WERE REVIEWED AND FOUND THAT THE LOT MET FINAL 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

CUSTOMER REPORTED DISCORDANT RESULTS BETWEEN TRIAGE AND SIEMENS DIMENSION EXL ANALYZER. TESTING ON TRIAGE PANEL RESULTED IN THE FOLLOWING: CKMB 1.8 NG/ML (ABOVE CUT-OFF OF 4.3 NG/ML), MYO 96.8 NG/ML (ABOVE CUT-OFF OF 107 NG/ML), TROP I <0.05 NG/ML (BELOW CUT-OFF OF 0.40 NG/ML). EXL ANALYZER: 0.215 NG/ML (ABOVE CUT-OFF OF 0.10 NG/ML). ALTHOUGH REQUESTED, NO ADDITIONAL INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1013953 TRIAGE CARDIAC HS PANEL TRIAGE CARDIAC PANEL MMI QUIDEL CARDIOVASCULAR INC. 97000HSEU T10431RN

Patients

Seq Age Sex Outcome Treatment
1