FDA Adverse Event Malfunction Summary report: N

VITROS 350 CHEMISTRY SYSTEM

MDR report key: 1514201 · Received October 21, 2009

Report

Report Number
1319681-2009-00333
Event Type
Malfunction
Date Received
October 21, 2009
Date of Event
September 20, 2009
Report Date
September 22, 2009
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS, INC.
Product Code
JIF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

OCD FIELD SERVICE INVESTIGATED. THE INCUBATOR WAS CLEANED AND THE INCUBATOR EVAPORATION CAPS WERE REPLACED, RETURNING THE VITROS 350 TO EXPECTED OPERATION. THE ROOT CAUSE OF THIS EVENT IS INSTRUMENT RELATED.

Description of Event or Problem · 1

THE CUSTOMER OBTAINED FALSELY ELEVATED, NON-REPRODUCIBLE RESULTS ON TWO PT SAMPLES PROCESSED USING VITROS AMON SLIDES ON A VITROS 350 CHEMISTRY SYSTEM. BIASED RESULTS OF THE DIRECTION AND MAGNITUDE OBSERVED MAY LEAD TO INAPPROPRIATE PHYSICIAN ACTION. THE FALSELY ELEVATED RESULTS WERE NOT REPORTED OUTSIDE THE LAB. THERE WAS NO REPORT OF PT HARM AS A RESULT OF THIS EVENT. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VITROS 350 CHEMISTRY SYSTEM CHEMISTRY SYSTEM JIF ORTHO-CLINICAL DIAGNOSTICS, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1