MAUDE Adverse Event Report: ABBOTT POINT OF CARE INC. I-STAT1 ANALYZER, IMMUNO READY

Catalog Number 04P75-01

Device Problem Electrical /Electronic Property Problem (1198)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 09/27/2023

Event Type  malfunction  

Manufacturer Narrative

Apoc incident #(b)(4).Apoc labeling will be evaluated during the investigation as pertaining to the event.

Event Description

On 27-sep-2023, abbott point of care (apoc) was contacted by a customer who reported that smoke was coming our of battery compartment and from barcode scanner area of i-stat 1 analyzer (b)(6).Customer is not using abbott recommended batteries (currently customer is using 9 volt nippon and uniros batteries).The analyzer will repaired and returned to the customer.Apoc has determined that a component failure within the analyzer circuitry, may lead to the batteries becoming uncomfortably hot to touch in the area of the battery compartment when using a green non-fused battery carrier.However, using batteries with carrier with red fused carrier at the time of the event.Therefore, the analyzer is unlikely to become hot to touch, failing safe.Based on the information available, there were no patient or user related injuries associated with this complaint.

Manufacturer Narrative

Apoc incident: (b)(4).The investigation was completed on 11-dec-2023.The customer reported that smoke was emitted from the battery compartment and barcode scanner area of i-stat 1 analyzer s/n (b)(6).Failure analysis confirmed the complaint, and the cause was attributed to the failure of the capacitor c26 on the main pcb.Per the incident summary, customer was using 9 volt nippon and uniros batteries instead of 9-volt lithium batteries (apoc list number: 06f21-26) per art: 714364-00y, of the i-stat system manual which has a safety feature that provides protection preventing the i-stat 1 analyzer from overheating due to component failure within the analyzer circuitry.A rocketware search spanning three months revealed one similar incident.Over the past year, the actual number of incidents caused by reliability-related failures of tantalum capacitors was 43, which is less than the expected 183 obtained by the reliability calculations.Therefore, no corrective/preventive action is required as the threshold has not been tripped and no product deficiency was found.Rather, this was a malfunction, which was attributed to the failure of the capacitor in the c26 location.

• Brand Name: I-STAT1 ANALYZER, IMMUNO READY
• Type of Device: I-STAT1 ANALYZER
• Manufacturer (Section D): ABBOTT POINT OF CARE INC.; 400 college road; princeton NJ 08540
• Manufacturer (Section G): FLEXTRONICS MANUFACTURING (SINGAPORE); pte ltd; 1 kallang place; singapore 33921 1; SN 339211
• Manufacturer Contact: linda maczuszenko ; pte ltd; 1 kallang place; singapore, NJ 33921-1 ; SN 339211 ; 6136123525
• MDR Report Key: 17860454
• MDR Text Key: 324793595
• Report Number: 2245578-2023-00136
• Device Sequence Number: 1
• Product Code: CGA
• Combination Product (y/n): N
• Reporter Country Code: IN
• PMA/PMN Number: K001387
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Health Professional
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date: 12/19/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 10/03/2023
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Catalogue Number: 04P75-01
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 12/11/2023
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 08/29/2014
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1