ISE 9180 03157334001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2008-03-21 for ISE 9180 03157334001 manufactured by Roche Diagnostics.

Event Text Entries

[17074972] Account experiencing getting erratic pt recovery for sodium starting 2007. No pt results were provided. The only data provided was from a reproducability study performed in 2008, which included fourteen sodium results from one pt sample. Initial result gave 136 mmol/l; sample repeated thirteen times giving 121, 135, 140, 137, 141, 138, 141, 132, 140, 111, 120, 137 & 132 mmol/l. No adverse events reported. If additional info is received, appropriate notification will be provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1823260-2008-02656
MDR Report Key1019675
Report Source05,06
Date Received2008-03-21
Date of Report2008-03-21
Date of Event2008-02-26
Date Facility Aware2008-02-27
Report Date2008-02-27
Date Mfgr Received2008-02-27
Date Added to Maude2008-05-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location3
Manufacturer ContactSALLY BOWDEN
Manufacturer Street9115 HAGUE RD.
Manufacturer CityINDIANAPOLIS IN 46250
Manufacturer CountryUS
Manufacturer Postal46250
Manufacturer Phone3175214668
Manufacturer G1ROCHE DIAGNOSTICS GMBH
Manufacturer StreetKRATKYSTRASSE 2
Manufacturer CityGRAZ A8020
Manufacturer CountryAU
Manufacturer Postal CodeA8020
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameISE 9180
Generic NameBLOOD GAS ANALYZER - JFP
Product CodeJFP
Date Received2008-03-21
Model NumberISE 9180
Catalog Number03157334001
OperatorOTHER
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key1018690
ManufacturerROCHE DIAGNOSTICS
Manufacturer AddressINDIANAPOLIS IN US


Patients

Patient NumberTreatmentOutcomeDate
10 2008-03-21

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