FDA Adverse Event Malfunction Summary report: N

VITROS ECI IMMUNODIAGNOSTIC SYSTEM

MDR report key: 1926018 · Received December 14, 2010

Report

Report Number
1319681-2010-00273
Event Type
Malfunction
Date Received
December 14, 2010
Date of Event
November 13, 2010
Report Date
December 14, 2010
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
MMI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INVESTIGATION DETERMINED THAT NON-REPRODUCIBLE FALSELY ELEVATED TROP I ES RESULTS OCCURRED FROM ONE PATIENT SAMPLE PROCESSED ON THE VITROS ECI IMMUNODIAGNOSTIC SYSTEM. THE INVESTIGATION DETERMINED THAT THE SAMPLES IN QUESTION WERE NOT PROCESSED IN ACCORDANCE WITH THE TUBE MANUFACTURER'S RECOMMENDATIONS. IT IS LIKELY THAT CELLULAR DEBRIS, DUE TO POOR SAMPLE PREPARATION, WAS PRESENT IN THE AFFECTED SAMPLES, ALTHOUGH THIS COULD NOT BE CONFIRMED. THE ROOT CAUSE OF THE EVENT IS UNKNOWN. THE POSSIBILITY THAT POOR SAMPLE PROCESSING OR AN ANALYZER RELATED EVENT HAD CONTRIBUTED TO THE RESULTS COULD NOT BE RULED OUT.

Description of Event or Problem · 1

THE CUSTOMER OBTAINED A NON-REPRODUCIBLE HIGHER THAN EXPECTED VITROS TROP I ES RESULT FROM ONE PATIENT SAMPLE WHEN PROCESSED ON THE VITROS ECI Q IMMUNODIAGNOSTIC SYSTEM. BIASED RESULTS OF THE DIRECTION AND MAGNITUDE OBSERVED MAY LEAD TO INAPPROPRIATE PHYSICIAN ACTION. THE RESULT WAS NOT REPORTED OUT OF THE LABORATORY. 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 ECI IMMUNODIAGNOSTIC SYSTEM IMMUNODIAGNOSTIC ANALYZER MMI ORTHO-CLINICAL DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1