FDA Adverse Event Malfunction Summary report: N

VITROS ECI IMMUNODIAGNOSTIC SYSTEM

MDR report key: 2073029 · Received April 29, 2011

Report

Report Number
1319681-2011-00102
Event Type
Malfunction
Date Received
April 29, 2011
Date of Event
March 30, 2011
Report Date
April 29, 2011
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
JLW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INVESTIGATION CONFIRMED THAT LOWER THAN EXPECTED VITROS TSH PATIENT RESULTS WERE OBTAINED FOR MULTIPLE SAMPLES FROM A SINGLE PATIENT WHILE USING THE VITROS ECI IMMUNODIAGNOSTIC SYSTEM. THE INVESTIGATION DID NOT DETERMINE A ROOT CAUSE OF THIS EVENT. HOWEVER, A POSSIBLE SAMPLE INTERFERENT AND/OR METHOD TO METHOD DIFFERENCES BETWEEN THE VITROS ECI AND OEM ANALYZERS CANNOT BE RULED OUT AS CONTRIBUTING FACTORS.

Description of Event or Problem · 1

THE CUSTOMER OBTAINED LOWER THAN EXPECTED VITROS TSH PATIENT RESULTS FOR MULTIPLE SAMPLES FROM A SINGLE PATIENT WHILE USING THE VITROS ECI IMMUNODIAGNOSTIC SYSTEM. BIASED RESULTS OF THE DIRECTION AND MAGNITUDE OBSERVED MAY LEAD TO INAPPROPRIATE PHYSICIAN ACTION. THE AFFECTED TSH PATIENT RESULTS WERE REPORTED FROM THE LABORATORY AND QUESTIONED BY THE CLINICIAN. NO CORRECTED REPORTS WERE ISSUED. THERE WERE NO ALLEGATIONS OF HARM TO THE PATIENT 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 JLW ORTHO-CLINICAL DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1