FDA Adverse Event Malfunction Summary report: N

ORTHO PROVUE

MDR report key: 1111614 · Received August 13, 2008

Report

Report Number
1056600-2008-00261
Event Type
Malfunction
Date Received
August 13, 2008
Date of Event
July 19, 2008
Report Date
August 13, 2008
Manufacturer
MICRO TYPING SYSTEMS, INC.
Product Code
KSZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO DEFINITE ROOT CAUSE WAS DETERMINED. AN OCD FE INSPECTED THE INSTRUMENT AND REPLACED THE O-RINGS ON THE WASTE BOTTLE AND REPLACED THE ELECTROVALVES. THE INSTRUMENT WAS RETURNED TO EXPECTED OPERATION. THIS CUSTOMER HAS NOT LOGGED ANY COMPLAINTS AGAINST THIS ANALYZER SINCE THIS INCIDENT.

Description of Event or Problem · 1

CUSTOMER REPORTED A WASH STATION OVERFLOW. THE FE CALLED BACK TO REPORT THAT THE PROBE WAS DRIPPING AND THAT THE REAGENTS WERE CONTAMINATED. NO ERROR CODES WERE POSTED BY THE PROVUE. THERE WAS NO BIOHAZARD EXPOSURE AND NO ERRONEOUS RESULTS WERE REPORTED. PROBE DRIP MAY LEAD TO DILUTION OF SAMPLE/REAGENT, CARRY OVER AND/OR CROSS CONTAMINATION AND ERRONEOUS RESULTS WHICH COULD LEAD TO TRANSFUSION OF INCOMPATIBLE BLOOD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ORTHO PROVUE AUTOMATED BLOOD GROUPING & ANTIBODY TEST SYST KSZ MICRO TYPING SYSTEMS, INC.

Patients

Seq Age Sex Outcome Treatment
1