CLINICAL CHEMISTRY CARBON DIOXIDE 03L80-31

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2018-07-19 for CLINICAL CHEMISTRY CARBON DIOXIDE 03L80-31 manufactured by Abbott Manufacturing Inc.

Event Text Entries

[114812727] All available patient information was included. Additional patient details are not available. An evaluation is in process. A final report will be submitted when the evaluation is complete.
Patient Sequence No: 1, Text Type: N, H10


[114812728] The customer observed a falsely elevated carbon dioxide result on the architect c8000 analyzer. The following data was provided (mmol/l): 1818400847b initial co2 32, repeat 29 there was no impact to patient management reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1628664-2018-00281
MDR Report Key7704884
Report SourceHEALTH PROFESSIONAL
Date Received2018-07-19
Date of Report2018-09-16
Date Mfgr Received2018-09-12
Date Added to Maude2018-07-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactNOEMI ROMERO-KONDOS, RN BSN
Manufacturer Street100 ABBOTT PARK ROAD DEPT. 09B9, LCCP1-3
Manufacturer CityABBOTT PARK IL 600643537
Manufacturer CountryUS
Manufacturer Postal600643537
Manufacturer Phone224667-512
Manufacturer G1ABBOTT MANUFACTURING INC
Manufacturer Street1921 HURD DRIVE
Manufacturer CityIRVING TX 75038
Manufacturer CountryUS
Manufacturer Postal Code75038
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCLINICAL CHEMISTRY CARBON DIOXIDE
Generic NameCARBON DIOXIDE
Product CodeKHS
Date Received2018-07-19
Catalog Number03L80-31
Lot Number52577UO02
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerABBOTT MANUFACTURING INC
Manufacturer Address1921 HURD DRIVE IRVING TX 75038 US 75038


Patients

Patient NumberTreatmentOutcomeDate
10 2018-07-19

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