VITROS IMMUNODIAGNOSTIC PRODUCTS INTACT PTH REAGENT PACK
Report
- Report Number
- 3007111389-2022-00077
- Event Type
- Malfunction
- Date Received
- August 9, 2022
- Date of Event
- July 12, 2022
- Report Date
- August 9, 2022
- Manufacturer
- ORTHO-CLINICAL DIAGNOSTICS
- Product Code
- CEW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- OTHER
Narratives
THE INVESTIGATION DETERMINED THAT HIGHER THAN EXPECTED VITROS INTACT PTH (IPTH) RESULTS WERE OBTAINED FROM A SINGLE PATIENT SAMPLE USING A VITROS XT7600 INTEGRATED SYSTEM AND VITROS IPTH REAGENT LOT 1560 WHEN COMPARED TO RESULTS OBTAINED FROM A NON-VITROS ROCHE AND SIEMENS SYSTEM. THE ASSIGNABLE CAUSE FOR THE HIGHER THAN EXPECTED VITROS IPTH RESULTS FOR THE PATIENT SAMPLE IS THE PRESENCE OF A SAMPLE INTERFERENT IN THE PATIENT SAMPLE TESTED, IN THIS CASE, HETEROPHILIC INTERFERENCE. BASED ON ACCEPTABLE HISTORICAL QUALITY CONTROL RESULTS, A VITROS IPTH REAGENT PERFORMANCE ISSUE IS NOT A LIKELY CONTRIBUTOR TO THE EVENT. CONTINUAL TRACKING AND TRENDING DOES NOT INDICATE A SYSTEMIC ISSUE WITH VITROS IPTH LOT 1560. EMAIL ADDRESS FOR CONTACT OFFICE (B)(6).
A CUSTOMER CONTACTED THE ORTHO CLINICAL DIAGNOSTICS (ORTHO) TECHNICAL SOLUTION CENTER (TSC) TO REPORT HIGHER THAN EXPECTED VITROS INTACT PTH (IPTH) RESULTS WERE OBTAINED FROM A SINGLE PATIENT SAMPLE USING A VITROS XT7600 INTEGRATED SYSTEM AND VITROS IPTH REAGENT LOT 1560 WHEN COMPARED TO RESULTS OBTAINED FROM A NON-VITROS ROCHE SYSTEM. PATIENT SAMPLE 1 RESULTS OF 726.0 AND 709.0 PG/ML VERSUS EXPECTED ROCHE RESULT OF 13.0 PG/ML BIASED RESULTS OF THE MAGNITUDE AND DIRECTION OBSERVED MAY LEAD TO INAPPROPRIATE PHYSICIAN ACTION IF THEY WERE TO OCCUR UNDETECTED. THE VITROS IPTH RESULT OF 726.0 PG/ML WAS REPORTED FROM THE LABORATORY. THE ROCHE IPTH RESULT OF 13.0 PG/ML WAS LATER REPORTED FOR THE PATIENT BUT NO CORRECTED REPORT ISSUED. NO TREATMENT WAS STOPPED/STARTED/ALTERED BASED ON THE HIGHER THAN EXPECTED RESULT. ORTHO IS NOT AWARE OF ANY ALLEGATION OF PATIENT HARM AS A RESULT OF THIS EVENT. THIS REPORT CORRESPONDS TO ORTHO CLINICAL DIAGNOSTICS INC (ORTHO) COMPLAINT NUMBER (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 295958 | VITROS IMMUNODIAGNOSTIC PRODUCTS INTACT PTH REAGENT PACK | IN-VITRO DIAGNOSTICS | CEW | ORTHO-CLINICAL DIAGNOSTICS | 1560 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |