FDA Adverse Event Malfunction Summary report: N

VITROS 250 CHEMISTRY SYSTEM

MDR report key: 1045186 · Received May 9, 2008

Report

Report Number
1319681-2008-00132
Event Type
Malfunction
Date Received
May 9, 2008
Date of Event
April 10, 2008
Report Date
April 10, 2008
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS, INC.
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 A RANDOM K+ OUTLIER OCCURRED DURING A K+ PRECISION TEST. THERE IS NO INDICATION TO SUGGEST THAT THE REAGENT OR ANALYZER MALFUNCTIONED. THE INVESTIGATION DID NOT DETERMINE THE ROOT CAUSE OF THE SINGLE BIASED RESULT. THE ROOT CAUSE OF THE EVENT IS UNK.

Description of Event or Problem · 1

A CUSTOMER OBSERVED POSITIVELY BIASED K+ QC RESULTS ON THE VITROS 250 ANALYZER. BIASED RESULTS OF THE DIRECTION AND MAGNITUDE OBSERVED MAY LEAD TO INAPPROPRIATE PHYSICIAN ACTION. THERE WAS NO REPORT OF PT HARM AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VITROS 250 CHEMISTRY SYSTEM CLINICAL CHEMISTRY ANALYZER JJE ORTHO-CLINICAL DIAGNOSTICS, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1