FDA Adverse Event Malfunction Summary report: N

VITROS ECI IMMUNODIAGNOSTIC SYSTEM

MDR report key: 1022319 · Received March 28, 2008

Report

Report Number
1319681-2008-00087
Event Type
Malfunction
Date Received
March 28, 2008
Date of Event
February 28, 2008
Report Date
February 29, 2008
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
JJE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION INTO THIS EVENT SHOWED THAT THE EVENT WAS INSTRUMENT RELATED. THE FIELD ENGINEER REAGENT METERING SUBSYSTEM AND POST SERVICE THE INSTRUMENT WAS RETURNED TO EXPECTED OPERATION. THE ROOT CAUSE OF THE EVENT IS INSTRUMENT RELATED.

Description of Event or Problem · 1

A CUSTOMER OBSERVED TWO FALSELY ELEVATED TROP I ES RESULTS ON THE VITROS ECI ANALYZER. BIASED RESULTS WERE RELEASED; HOWEVER, THE ELEVATED RESULT WAS REPEATED AND A CORRECTED REPORT WAS ISSUED. BIASED RESULTS OF THE MAGNITUDE AND DIRECTION OBSERVED MAY LEAD TO INAPPROPRIATE PHYSICIAN ACTION. THERE WAS NO REPORT OF PATIENT HARM AS A RESULT OF THIS EVENT. THIS REPORT CORRESPONDS TO ORTHO CLINICAL DIAGNOSTICS INC.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1