FDA Adverse Event Malfunction Summary report: N

VITROS ECIQ IMMUNODIAGNOSTIC SYSTEM

MDR report key: 1020252 · Received March 26, 2008

Report

Report Number
1319681-2008-00083
Event Type
Malfunction
Date Received
March 26, 2008
Date of Event
February 27, 2008
Report Date
February 28, 2008
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
JJE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION INTO THE EVENT WAS UNABLE TO DETERMINE THE DEFINITIVE ROOT CAUSE. ANALYSIS OF INSTRUMENT DATALOGGERS WAS UNABLE TO CONFIRM THAT REQUIRED PERIODIC MAINTENANCE BY THE USER HAD BEEN PERFORMED. THIS COULD CONTRIBUTE TO THE GENERATION OF FALSE POSITIVE TROPONIN I RESULTS. THE REPORTING OF THE FALSE POSITIVE TROPONIN I RESULT TO THE PHYSICIAN WAS CAUSED BY A USER ERROR AS THE CUSTOMER WAS NOT FOLLOWING THE ASSAY INSTRUCTIONS FOR USE PROTOCOL RECOMMENDATIONS FOR CONFIRMING POSITIVE RESULTS.

Description of Event or Problem · 1

A CUSTOMER OBSERVED A FALSE POSITIVE AMI RESULT FOR THE VITROS TROPONIN I ASSAY ON THEIR VITROS ECIQ IMMUNODIAGNOSTIC ANALYZER. THE RESULT WAS REPORTED AND WAS QUESTIONED BY THE PATIENT'S PHYSICIAN. A REPEAT OF THE SAME SAMPLE YIELDED NEGATIVE TROPONIN I RESULTS. FALSELY ELEVATED TROPONIN I RESULTS MAY LEAD TO INAPPROPRIATE PHYSICIAN ACTION. THERE WAS NO ALLEGATIONS OF PATIENT HARM.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1