MAUDE Adverse Event Report: ABBOTT POINT OF CARE I-STAT EC8+ CARTRIDGE

Catalog Number	600-9007-25
Medical Device Problem Code	Incorrect, Inadequate or Imprecise Result or Readings (1535)
Health Effect - Clinical Code	No Information (3190)
Date of Event	04/15/2016
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Apoc incident # (b)(4).Apoc labeling was evaluated during the investigation as pertaining to the event.The investigation was completed on 09/07/2016.Retain product was tested and functioning according to specification.Return product was not available for investigation.Investigation: the customer reported obtaining unexpected na+ and k+ results while using ec8+ cartridge lot k15324 to test a patient sample.The device history record for this lot was reviewed.The lot passed finished goods release criteria.Ec8+ lot k15324 expired (14-jun-16) before retain cartridge testing could be performed.As of 01-sep-16, 18,900 cartridges from lot k15324 have been distributed.No other site has reported observing discrepant na+ or k+ results.No deficiency has been identified.Assessment: the complaint investigation concluded there was no product deficiency and that the i-stat cartridge lot is meeting specification.
Event or Problem Description
On (b)(6) 2016, abbott point of care was contacted by a customer regarding i-stat ec8+ cartridges that yielded suspected discrepant sodium and potassium results on a patient (dog).The customer stated that the patient passed away at a later date before retesting.The cause of death is unknown.There was no additional patient information available at the time of this report.Return product is not available for investigation.Date: time: method: na+ result meq/l: k+ result meq/l: sample: (b)(6) 2016, 10:16am, i-stat, 118 meq/l, > 9meq/l , a.(b)(6) 2016, 11:15am, vs2, unreadable, 3.7 meq/l, b.At the time of the event there was no indication of a product malfunction based on the information provided and assessed by apoc, however this mdr is a retrospective filing in response to an observation from an fda inspection conducted may 8th to 12th, 2017 at abbott point of care (b)(4).

• Brand Name: I-STAT EC8+ CARTRIDGE
• Common Device Name: EC8+ CARTRIDGE
• Manufacturer (Section D): ABBOTT POINT OF CARE; 400 college road; princeton NJ 08540 6607
• MDR Report Key: 6932290
• Report Number: 2245578-2017-00336
• Device Sequence Number: 1312353
• Product Code: CHL
• UDI-Device Identifier: 10054749000071
• UDI-Public: 10054749000071
• Combination Product (Y/N): N
• Initial Reporter State: CA
• Initial Reporter Country: US
• PMA/510(K) Number: K940918
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: health professional
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 10/09/2017

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: No Information
• Device Expiration Date: 06/14/2016
• Device Catalogue Number: 600-9007-25
• Device Lot Number: K15324
• Was Device Available for Evaluation?: No
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 09/13/2017
• Initial Report FDA Received Date: 10/09/2017
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1