VITROS ECI IMMUNODIAGNOSTIC SYSTEM
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
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.
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 |