FDA Adverse Event Malfunction Summary report: N

VITROS 350 CHEMISTRY SYSTEM

MDR report key: 1020249 · Received March 26, 2008

Report

Report Number
1319681-2008-00081
Event Type
Malfunction
Date Received
March 26, 2008
Date of Event
February 27, 2008
Report Date
February 27, 2008
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
JJE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION INTO THIS EVENT DETERMINED THAT THE VITROS 350 WAS OPERATING AS INTENDED. THE PATIENT RESULTS WERE ASSOCIATED WITH THE INCORRECT PATIENT NAME, AS A RESULT OF USER ERROR THAT RESULTED IN A SAMPLE MIX-UP.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT RESULTS FROM ONE PATIENT SAMPLE PROCESSED ON THE VITROS 350 CHEMISTRY SYSTEM WERE ASSOCIATED WITH THE INCORRECT PATIENT NAME. THE VITROS 350 RESULTS WERE REPORTED, HOWEVER, THE DISCREPANCY WAS IDENTIFIED AND A CORRECTED REPORT WAS ISSUED. THERE WAS NO REPORT OF PATIENT HARM AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VITROS 350 CHEMISTRY SYSTEM CHEMISTRY ANALYZER JJE ORTHO-CLINICAL DIAGNOSTICS NA NA

Patients

Seq Age Sex Outcome Treatment
1