FDA Adverse Event Malfunction Summary report: N

VITROS 350 CHEMISTRY SYSTEM

MDR report key: 1840605 · Received September 21, 2010

Report

Report Number
1319681-2010-00200
Event Type
Malfunction
Date Received
September 21, 2010
Date of Event
August 23, 2010
Report Date
September 21, 2010
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
JJE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INVESTIGATION DETERMINED THAT LOWER THAN EXPECTED VITROS THEO RESULTS OCCURRED ON DILUTED CONTROL FLUIDS PROCESSED ON THE VITROS 350 CHEMISTRY SYSTEM. AN OCD FIELD SERVICE ENGINEER ADJUSTED THE DILUTION CUP MODULE TO MITIGATE THE ISSUE AND RETURN THE SYSTEM TO EXPECTED OPERATION. SUBSEQUENT PHYT RESULTS ON THE DILUTED CONTROL FLUIDS WERE ACCEPTABLE. THE ROOT CAUSE OF THE EVENT IS INSTRUMENT RELATED.

Description of Event or Problem · 1

THIS CUSTOMER OBSERVED LOWER THAN EXPECTED THEOPHYLLINE QUALITY CONTROL RESULTS WHILE USING VITROS CHEMISTRY PRODUCTS THEO SLIDES WHEN PROCESSED ON A VITROS 350 CHEMISTRY SYSTEM. BIASED PATIENT RESULTS OF THE DIRECTION AND MAGNITUDE OBSERVED COULD LEAD TO INAPPROPRIATE PHYSICIAN ACTION SHOULD THEY OCCUR ON PATIENT SAMPLES. THERE WAS NO REPORT OF PATIENT HARM AS A RESULT OF THIS EVENT. THIS REPORT CORRESPONDS TO ORTHO CLINICAL DIAGNOSTICS INC. (B)(4)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VITROS 350 CHEMISTRY SYSTEM CLINICAL CHEMISTRY ANALYZER JJE ORTHO-CLINICAL DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1