MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-04-07 for I-STAT CG4+ CARTRIDGE 03P85-50 manufactured by Abbott Point Of Care.
[72366646]
(b)(4). Apoc labeling will be evaluated during the investigation as pertaining to the event.
Patient Sequence No: 1, Text Type: N, H10
[72366647]
On 03/28/2017, abbott point of care was contacted by a customer regarding i-stat cg4+ cartridges that yielded suspected discrepant results on a (b)(6) male patient during post op. The customer states that the results reported did not match the trend of the patient on the first test. The customer reports that the nurse re-tested and the results generated matched the trend of the patient. The patient was being tested every two hours. There was no additional patient information at the time of this report. The customer states that return product is not available for investigation. Event date: (b)(6) 2017, collect: 20:10, test: 20:10, sample: a, ph: 7. 193, pco2: 39. 4, po2: 93, hco3: 15. 2, be: -13, so2: 95%, lac: 0. 77, tco2:16; (b)(6) 2017, 20:10, 20:14, a, 7. 469, 38. 2, 104, 24. 0, -1, 98%, 0. 83, 25. There are no injuries associated with this event. The investigation is underway.
Patient Sequence No: 1, Text Type: D, B5
[117873948]
(b)(4). The investigation was completed on 06/26/2017. Retain product was tested and functioning according to specification. Return product was not available for investigation.
Patient Sequence No: 1, Text Type: N, H10
[117873949]
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2245578-2017-00018 |
| MDR Report Key | 6471716 |
| Date Received | 2017-04-07 |
| Date of Report | 2017-04-07 |
| Date of Event | 2017-03-27 |
| Date Mfgr Received | 2017-03-28 |
| Device Manufacturer Date | 2016-11-17 |
| Date Added to Maude | 2017-04-07 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | LINDA MACZUSZENKO |
| Manufacturer Street | 400 COLLEGE ROAD |
| Manufacturer City | PRINCETON NJ 08540 |
| Manufacturer Country | US |
| Manufacturer Postal | 08540 |
| Manufacturer Phone | 6136885949 |
| Manufacturer G1 | ABBOTT POINT OF CARE CANADA LTD. |
| Manufacturer Street | 185 CORKSTOWN ROAD |
| Manufacturer City | OTTAWA, ONTARIO K2H 8V4 |
| Manufacturer Country | CA |
| Manufacturer Postal Code | K2H 8V4 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | I-STAT CG4+ CARTRIDGE |
| Generic Name | CG4+ CARTRIDGE |
| Product Code | KHP |
| Date Received | 2017-04-07 |
| Model Number | NA |
| Catalog Number | 03P85-50 |
| Lot Number | D17030A |
| Device Expiration Date | 2017-09-28 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ABBOTT POINT OF CARE |
| Manufacturer Address | 400 COLLEGE ROAD PRINCETON NJ 085406607 US 085406607 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-04-07 |