FDA Adverse Event Malfunction Summary report: N

0.8% RESOLVE PANEL A

MDR report key: 1240851 · Received August 28, 2008

Report

Report Number
2250051-2008-70425
Event Type
Malfunction
Date Received
August 28, 2008
Date of Event
July 31, 2008
Report Date
August 28, 2008
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
KSZ
Product Problem
Yes
Report Source
Distributor report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IN 2008, THE CUSTOMER CONTACTED ORTHO CLINICAL DIAGNOSTICS TO REPORT A FALSE NEGATIVE REACTION FOR ANTI-E WITH VRA118. ON THE PREVIOUS MONTH, A SPECIMEN WAS OBTAINED AND TESTED WITH VRA117. ANTI-C WAS IDENTIFIED, BUT ANTI-E WAS NOT REPORTED. ONE UNIT OF PACKED CELLS WAS TRANSFUSED TO THE METASTATIC MELANOMA PT ON THE FOLLOWING DAY. ON FIVE DAYS PRIOR TO ORIGINAL DATE, A NEW SAMPLE WAS OBTAINED AND TESTED WITH VRA118. ANTI-C WAS IDENTIFIED, BUT ANTI-E WAS NOT REPORTED. TWO UNITS OF PACKED CELLS WERE TRANSFUSED ON THE SAME DAY. CUSTOMER REPORTED THE PT SUFFERED A SEROLOGICAL TRANSFUSION REACTION AS EVIDENCED BY A COFFEE COLORED SAMPLE. ON THE NEXT DAY, A POST TRANSFUSION SAMPLE WAS TESTED WITH VRA118. ANTI-C WAS IDENTIFIED, BUT ANTI-E WAS NOT REPORTED. A PEG/TUBE PANEL WAS ALSO PERFORMED. IN ADDITION TO THE ANTI-C, AN ANTI-E WAS ALSO IDENTIFIED. NO DISCREPANCIES WERE REPORTED WITH QC TESTING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 0.8% RESOLVE PANEL A REAGENT RED BLOOD CELLS KSZ ORTHO-CLINICAL DIAGNOSTICS * VRA118

Patients

Seq Age Sex Outcome Treatment
1 *