inforMED
MalfunctionCGL

ABBOTT ISTAT

Received Jun 24, 2020 · Event occurred Jun 15, 2020

Report MW5095213 · MDR key 10194846

Device

Generic name

Electrode, Ion Based, Enzymatic, Creatinine

Model number

ISTAT 1

Catalog number

NA

Lot number

A20061

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings
  • Defective Component

Patient

68 YR

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

POC ISTAT RESULTS WERE INCORRECT. HIGHLY DEFECTIVE CR 5.1. RESULTS INDICATED SEVERE RENAL ISSUES. PT HAD NO PRIOR HISTORY OF RENAL IMPAIRMENT. COMPLETED MRI W/O CONTRAST DUE TO THIS RESULT. PT WENT TO (B)(6) ED FOR EVALUATION. LABS DRAWN THERE INDICATED NORMAL RENAL FUNCTION 0.9 CR. CONCERN FOR DEFECTIVE CARTRIDGE. DEVICE HAS FUNCTIONED W/O ISSUE SINCE EVENT. THE PT AND HER PHYSICIAN WERE MADE AWARE OF THIS ERROR.