inforMED
MalfunctionCGL

STAT PROFILE PRIME PLUS ANALYZER SYSTEM

Received Nov 19, 2019 · Event occurred Nov 4, 2019

Report 1219029-2019-00072 · MDR key 9344974

Device

Generic name

Blood Gas Analyzer

Model number

57400

Product problems

  • Incorrect Measurement
  • Incorrect Measurement

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

A NOVA BIOMEDICAL FIELD SERVICE TECHNICIAN VISITED THE USER FACILITY TO SERVICE THE ANALYZER. THEY DETERMINED THAT THE ISSUE WAS CAUSED BY A CALIBRATOR CARTRIDGE THAT WAS NOT PROPERLY PREPARED PRIOR TO USE. THE FIELD SERVICE TECHNICIAN CONFIRMED THAT REPLACING THE CALIBRATOR CARTRIDGE RESOLVED THE ISSUE AND RETURNED THE ANALYZER TO SERVICE.

Description of Event or Problem

A USER FACILITY REPORTED A NOVA BIOMEDICAL PRIME PLUS ANALYZER THAT SHOWED DISCREPANT CREATININE RESULTS WHEN COMPARED TO THEIR REFERENCE ANALYZER. THERE WAS NO PATIENT HARM OR MEDICAL INTERVENTION REPORTED.