FDA Adverse Event Malfunction Summary report: N

ORTHO SUMMIT SAMPLE HANDLING SYSTEM

MDR report key: 2963120 · Received February 15, 2013

Report

Report Number
2250051-2013-00028
Event Type
Malfunction
Date Received
February 15, 2013
Date of Event
January 10, 2013
Report Date
February 15, 2013
Manufacturer
HAMILTON BONADUZ AG
Product Code
MMH
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INSTRUMENT HAS BEEN INVESTIGATED. ON (B)(4) 2013 AN OCD FIELD ENGINEER ARRIVED AT THE CUSTOMER SITE AND REVIEWED ALL THE BARCODE SETTINGS FOR THE INSTRUMENT AND FOR THE SERVER. THE SERVER WAS SET TO ALL BARCODE TYPES. THIS SETTING PER THE USER MANUAL HAS NO DATA FORMAT VALIDATIONS. THE FE CHANGED THE SETTINGS TO CODABAR IN THE SERVER. THE FE RAN BOTH CODABAR AND ISBT ON THE PIPETTER WITH NO ISSUES. REPAIRS HAVE RETURNED THIS INSTRUMENT TO EXPECTED OPERATION.

Description of Event or Problem · 1

THE BARCODE SCANNER ON THE ORTHO SUMMIT SAMPLE HANDLING SYSTEM INSTRUMENT MISREAD THE SAMPLE BARCODE. A BARCODE MISREAD COULD RESULT IN A SAMPLE FROM ONE PATIENT BEING MISINTERPRETED FOR ANOTHER. NO DEATH OR SERIOUS INJURY WAS ASSOCIATED WITH THIS INCIDENT. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
67978 ORTHO SUMMIT SAMPLE HANDLING SYSTEM SAMPLE PIPETTOR MMH HAMILTON BONADUZ AG 936400

Patients

Seq Age Sex Outcome Treatment
1