VITROS XT 7600 INTEGRATED SYSTEM
Report
- Report Number
- 1319681-2026-00005
- Event Type
- Malfunction
- Date Received
- February 5, 2026
- Date of Event
- December 17, 2025
- Report Date
- February 4, 2026
- Manufacturer
- ORTHO-CLINICAL DIAGNOSTICS, INC.
- Product Code
- JJE
- UDI-DI
- 10758750031610
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE INVESTIGATION DETERMINED THAT LOWER THAN EXPECTED NT-PROBNP II (NBNP2) RESULTS WERE OBTAINED FROM VITROS NBNP2 LOT 0590 WHEN PROCESSING A NON-VITROS BIORAD LIQUICHEK CARDIAC MARKER PLUS LT QUALITY CONTROL (QC) FLUID LOT 1003130 ON A VITROS XT 7600 INTEGRATED SYSTEM. THE ASSIGNABLE CAUSE OF THE EVENT WAS AN INSTRUMENT RELATED ISSUE. IT WAS VERIFIED THAT CONDITION CODES RELATED TO THE WELL WASH HEATER FOR LOWER THAN AND HIGHER THAN EXPECTED TEMPERATURES WERE OBTAINED ON THE VITROS XT7600 SYSTEM DURING THE TIME WHEN THE LOW NBNP2 BIORAD QC RESULTS WERE OBTAINED. THE VITROS NBNP2 ASSAY IS HIGHLY SENSITIVE TO WELL WASH TEMPERATURE AND INCUBATOR TEMPERATURE. AN ORTHO FIELD ENGINEER (FE) WENT TO THE CUSTOMER SITE AND PERFORMED THE FOLLOWING ACTIONS: VERIFIED LUMINOMETER SEATING, PERFORMED LUMINOMETER LIFT AND SEPARATE TEST, PERFORMED READ LIFT PIN ADJUSTMENT, -VERIFIED SIGNAL REAGENT (SR) HORIZONTAL AND DISPENSE ADJUSTMENTS, PERFORMED IRS CALIBRATION, REPLACED THE INTAKE FILTER, SR DISPENSE TIPS, AIR FILTER, SR BOTTLE, WELL WASH ASPIRATE FILTER. IN ADDITION, THE FE PERFORMED HEALTH CHECK PER LATEST SERVICE PUBLICATION AND THE MICROWELL PREVENTATIVE MAINTENANCE (PM). ACCEPTABLE RESULTS FOR VITROS NBNP2 WERE OBTAINED FOLLOWING THE SERVICE PERFORMED ACTIONS BY THE ORTHO FE, INDICATING THAT THE LOW QC RESULTS WERE DUE TO AN ISSUE WITH THE VITROS XT7600 SYSTEM. A REVIEW OF THE VITROS NBNP2 LOT 0590 QC PERFORMANCE INDICATED SOME IMPRECISION AROUND THE TIME OF THE EVENT. HOWEVER, FOLLOWING SERVICE ACTIONS ACCEPTABLE PERFORMANCE WAS OBTAINED ON NBNP2 LOT 0590 AS WELL AS A NEW NBNP2 LOT THAT WAS PUT INTO. IT WAS CONCLUDED THAT THE LOW QC RESULTS AND NOTED QC IMPRECISION WAS RELATED TO THE VITROS INSTRUMENT ISSUE. CONTINUAL TRACKING AND TRENDING DOES NOT INDICATE A SYSTEMIC ISSUE WITH VITROS NBNP2 LOT 0590.
A CUSTOMER CONTACTED THE ORTHO CLINICAL DIAGNOSTICS (ORTHO) TECHNICAL SOLUTION CENTER (TSC) TO REPORT LOWER THAN EXPECTED NT-PROBNP II (NBNP2) RESULTS WERE OBTAINED FROM VITROS NBNP2 LOT 0590 WHEN PROCESSING A NON-VITROS BIORAD LIQUICHEK CARDIAC MARKER PLUS LT QUALITY CONTROL (QC) FLUID LOT 1003130 ON A VITROS XT 7600 INTEGRATED SYSTEM. BIORAD LEVEL 2 VITROS NBNP RESULTS OF 143.2, 143.3 PG/ML VS EXPECTED RESULT OF 202.6 PG/ML BIASED RESULTS OF THE MAGNITUDE AND DIRECTION OBSERVED MAY LEAD TO INAPPROPRIATE PHYSICIAN ACTION IF THEY WERE TO OCCUR UNDETECTED ON PATIENT SAMPLES. THE LOWER THAN EXPECTED VITROS NBNP2 RESULTS WERE OBTAINED WHEN PROCESSING NON-VITROS QC FLUID. THERE WERE NO REPORTED ALLEGATIONS OF PATIENT HARM AS A RESULT OF THIS EVENT. THIS REPORT CORRESPONDS TO ORTHO CLINICAL DIAGNOSTICS INC (ORTHO) COMPLAINT NUMBER (B)(4) AND REPORTABILITY ASSESSMENT 613299.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 334808 | VITROS XT 7600 INTEGRATED SYSTEM | CHEMISTRY ANALYZER | JJE | ORTHO-CLINICAL DIAGNOSTICS, INC. | 10758750031610 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |