inforMED
MalfunctionCCE

ABL700 SERIES

Received Sep 15, 2006 · Event occurred Aug 16, 2006

Report 3002807968-2006-00039 · MDR key 871033

Device

Generic name

Abl700

Model number

ABL735

Catalog number

393-735

Lot number

NA

Product problems

  • Low Test Results

Patient

*

  • Unknown (for use when the patient's condition is not known)

Narrative

Description of Event or Problem

TWO CAPILLARY SAMPLES WERE TAKEN ON A NEONATE. THE FIRST SAMPLE WAS ANALYZED ON AN ABL735 BLOOD GAS ANALYZER INDICATING HB 6.3 MMOL/L. ACCORDING TO THE QC LOGS, THE DEVICE HAS PERFORMED ACCORDING TO SPECIFICATIONS. AS THE MEDICAL STAFF CONSIDERED THE VALUE TOO LOW ACCORDING TO THE PT'S CONDITION, A NEW MEASUREMENT WAS CONDUCTED. THE REFERENCE MEASUREMENT ANALYZED ON AN OTHER BLOOD GAS ANALYZER CONFIRMED THAT THE VALUE WAS HIGHER. THE SECOND OF THE ORIGINALLY TAKEN SAMPLES CONFIRMED THE HIGHER VALUE AS 9.4 MMOL/L.

Additional Manufacturer Narrative

STILL UNDER INVESTIGATION.

Remedial action

  • Other