FDA Adverse Event Malfunction Summary report: N

VITROS CHEMISTRY PRODUCTS VALP REAGENT

MDR report key: 2895527 · Received January 3, 2013

Report

Report Number
1319808-2013-00001
Event Type
Malfunction
Date Received
January 3, 2013
Date of Event
November 23, 2012
Report Date
January 3, 2013
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
LEG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INVESTIGATION DETERMINED THAT A NONE-REPRODUCIBLE, HIGHER THAN EXPECTED VITROS VALP QUALITY CONTROL RESULT WAS OBTAINED WHILE USING A VITROS 5,1 FS CHEMISTRY SYSTEM. THE ROOT CAUSE OF THIS EVENT IS UNKNOWN. HOWEVER, THE QUALITY CONTROL FLUIDS IN USE, AN INSTRUMENT RELATED ISSUE AND/OR A REAGENT RELATED ISSUE COULD NOT BE RULED OUT AS CONTRIBUTING FACTORS. EXPECTED PERFORMANCE WAS RETURNED USING AN ALTERNATE QULAITY CONTROL FLUID VIAL.

Description of Event or Problem · 1

A CUSTOMER OBSERVED A NON-REPRODUCIBLE, HIGHER THAN EXPECTED VITROS VALP QUALITY CONTROL RESULT (88.87 VS. 73.1 NG/ML) ON A VITROS 5,1 FS CHEMISTRY SYSTEM. BIASED RESULTS OF THE MAGNITUDE AND DIRECTION OBSERVED MAY LEAD TO INAPPROPRIATE PHYSICIAN ACTION IF PATIENT SAMPLES WERE AFFECTED. NO VITROS VALP PATIENT RESULTS FROM THE TIME FRAME OF THE EVENT WERE QUESTIONED. THERE WAS NO REPORT OF PATIENT HARM AS A RESULT OF THIS EVENT. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2264 VITROS CHEMISTRY PRODUCTS VALP REAGENT IN-VITRO DIAGNOSTIC LEG ORTHO-CLINICAL DIAGNOSTICS 2511-18-2164

Patients

Seq Age Sex Outcome Treatment
1