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

Catalog Number 03P84-25

Device Problem Incorrect, Inadequate or Imprecise Result or Readings (1535)

Patient Problem No Code Available (3191)

Event Date 08/30/2016

Event Type  malfunction  

Manufacturer Narrative

Apoc incident # (b)(4).Apoc labeling was evaluated during the investigation as pertaining to the event.The investigation was completed on 11/09/2016.Retain product was tested and functioning according to specification.Return product is not available for investigation.Investigation: a review of the device history record (dhr) confirmed that the cartridge lot met finished goods (fg) release criteria.Retained test data met the acceptance criteria outlined in appendix 1 of q04.01.003 rev.Z (product complaint level 2 and level 3 investigation procedure).No deficiency was identified.Assessment: no repeats on the i-stat or the laboratory.Two different samples tested.The complaint investigation concluded there was no product deficiency and that the i-stat cartridge lot is meeting specification.

Event Description

On (b)(6) 2016, abbott point of care was contacted by a customer regarding i-stat crea cartridges that yielded suspected discrepant creatinine result on a (b)(6) year old male patient presented to the emergency room for a cough.Creatinine was tested to determine if contract should be given before imaging.There were no injuries associated with this event, the patient was treated based on the lab results.There was no repeat on i-stat.There was no additional patient information available at the time of this report.Return product is not available for investigation.I-stat, 1.7, resulted at 12:51, cobas 0.8, collected at 13:31, resulted a approximately 13:50.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 CREA CARTRIDGE
• Type of Device: CREA CARTRIDGE
• Manufacturer (Section D): ABBOTT POINT OF CARE; 400 college road; princeton NJ 08540 6607
• Manufacturer (Section G): ABBOTT POINT OF CARE CANADA LTD.; 185 corkstown road; ottawa, ontario K2H 8 V4; CA K2H 8V4
• Manufacturer Contact: linda maczuszenko ; 400 college road; princeton, NJ 08540 ; 6136885949
• MDR Report Key: 6939424
• MDR Text Key: 90331672
• Report Number: 2245578-2017-00488
• Device Sequence Number: 1
• Product Code: CGL
• UDI-Device Identifier: 1005474900125
• UDI-Public: (01)1005474900125
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K973292
• 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
• Report Date: 10/10/2017

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 10/10/2017
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Expiration Date: 10/28/2016
• Device Catalogue Number: 03P84-25
• Device Lot Number: A16128
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 09/13/2017
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 05/07/2016
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Age: 72 YR