VITROS ECIQ IMMUNODIAGNOSTIC SYSTEM
Report
- Report Number
- 1319681-2024-00021
- Event Type
- Malfunction
- Date Received
- March 12, 2024
- Date of Event
- February 14, 2024
- Report Date
- March 12, 2024
- Manufacturer
- ORTHO-CLINICAL DIAGNOSTICS, INC.
- Product Code
- KHO
- UDI-DI
- 10758750000272
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE INVESTIGATION HAS DETERMINED THAT A DISCREPANT RESULT WAS OBTAINED BETWEEN VITROS ECI Q SYSTEM AND LABORATORY INFORMATION SYSTEM (LIS). THE DISCREPANT RESULT APPEARS TO BE RELATED TO THE CONFIGURATION OF THE VITROS ECI SYSTEM, THAT WAS REPORTING VITROS TESTO RESULTS IN UNITS OF NMOL/L WHILE THE CUSTOMER'S NON-VITROS LIS WAS REPORTING THE SAME NUMERICAL RESULTS IN UNITS OF NG/ML. PER WKI53815, HEALTH AND SAFETY REPORTABILITY GUIDELINES FOR CLINICAL LABORATORY PRODUCTS: DISCORDANT RESULTS HAVE OCCURRED; HOWEVER, THERE IS NO ALLEGATION OR INDICATION THAT ERRONEOUS RESULTS HAVE OCCURRED ON THE ORTHO SYSTEM. INVESTIGATION HAS DETERMINED THAT THE ORTHO SYSTEM IS OPERATING AS INTENDED.
A CUSTOMER CONTACTED THE ORTHO CLINICAL DIAGNOSTICS (ORTHO) TECHNICAL SOLUTION CENTER (TSC) TO REPORT A DISCREPANT RESULT WAS OBTAINED BETWEEN VITROS ECI Q SYSTEM AND LABORATORY INFORMATION SYSTEM (LIS). VITROS TESTO RESULT OF 15.3 NG/DL VS THE EXPECTED RESULT OF 441.405 NG/DL BIASED RESULTS OF THE MAGNITUDE AND DIRECTION OBSERVED MAY LEAD TO INAPPROPRIATE PHYSICIAN ACTION IF THEY WERE TO OCCUR UNDETECTED. THE ERRONEOUS RESULT OF 15.3 NG/DL WAS REPORTED FROM THE LABORATORY. HOWEVER, NO TREATMENT WAS INITIATED, ALTERED, OR STOPPED BASED ON THE REPORTED RESULT AND A CORRECTED REPORT OF 441.405 NG/DL WAS LATER ISSUED FOR THE PATIENT. THERE WAS NO ALLEGATION OF PATIENT HARM AS A RESULT OF THIS EVENT. THIS REPORT CORRESPONDS TO ORTHO CLINICAL DIAGNOSTICS INC (ORTHO) COMPLAINT NUMBERS (B)(4) AND REPORTABILITY ASSESSMENT (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1221701 | VITROS ECIQ IMMUNODIAGNOSTIC SYSTEM | CHEMISTRY ANALYZER | KHO | ORTHO-CLINICAL DIAGNOSTICS, INC. | 10758750000272 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |