FDA Adverse Event Malfunction Summary report: N

VITROS 950 CHEMISTRY SYSTEM

MDR report key: 1981734 · Received February 8, 2011

Report

Report Number
1319681-2011-00037
Event Type
Malfunction
Date Received
February 8, 2011
Date of Event
January 10, 2011
Report Date
February 8, 2011
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
JJE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INVESTIGATION CONFIRMED THAT HIGHER THAN EXPECTED VITROS GLU CSF QUALITY CONTROL RESULTS WERE OBTAINED WHILE USING THE VITROS 950 ANALYZER. A DEFINITIVE ROOT CAUSE FOR THE EVENT COULD NOT BE DETERMINED, HOWEVER, AN INSTRUMENT RELATED ISSUE AND/OR THE QUALITY CONTROL FLUID IN USE CANNOT BE RULED OUT AS CONTRIBUTING FACTORS. THERE IS NO INDICATION THAT THE VITROS GLU SLIDE LOT IN USE OR VITROS 950 ANALYZER WERE NOT OPERATING AS INTENDED.

Description of Event or Problem · 1

THE CUSTOMER OBTAINED HIGHER THAN EXPECTED VITROS GLU CSF QUALITY CONTROL RESULTS WHILE USING THE VITROS 950 CHEMISTRY SYSTEM. BIASED RESULTS OF THE DIRECTION AND MAGNITUDE OBSERVED MAY LEAD TO INAPPROPRIATE PHYSICIAN ACTION IF THE EVENTS WERE TO RECUR WITH PATIENT SAMPLES. NO GLU PATIENT RESULTS WERE AFFECTED OR REPORTED FROM THE LABORATORY TO THE CLINICIAN. THERE WAS NO ALLEGATION OF HARM TO PATIENTS 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 950 CHEMISTRY SYSTEM CHEMISTRY ANALYZER JJE ORTHO-CLINICAL DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1