FDA Adverse Event Malfunction Summary report: N

0.8% RESOLVE PANEL A

MDR report key: 1398202 · Received May 22, 2009

Report

Report Number
2250051-2009-00152
Event Type
Malfunction
Date Received
May 22, 2009
Date of Event
April 28, 2009
Report Date
May 22, 2009
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
MWN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ORTHO CLINICAL DIAGNOSTICS (OCD) PERFORMED RETAINED TESTING. SATISFACTORY RESULTS WERE OBSERVED. CUSTOMER STATED SAMPLE QUANTITY WAS INSUFFICIENT FOR FURTHER INVESTIGATION.

Description of Event or Problem · 1

CUSTOMER REPORTED NO REACTIVITY WITH VRA127 CELLS 4, 6, 8, AND 11 AND A PATIENT SAMPLE WITH A NEWLY DEVELOPED ANTIBODY. CELLS # 1, 3, 5, 7 REACTED WEAK -1+ POSITIVE. SAMPLE WAS SENT OUT TO A REFERENCE LAB. REFERENCE LAB CONFIRMED ANTI-JKA. METHOD USED AT REFERENCE LAB IS NOT KNOWN. THIS REPORT CORRESPONDS TO ORTHO CLINICAL DIAGNOSTICS INC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 0.8% RESOLVE PANEL A REAGENT RED BLOOD CELLS MWN ORTHO-CLINICAL DIAGNOSTICS VRA127

Patients

Seq Age Sex Outcome Treatment
1