FDA Adverse Event Injury Summary report: N

VITROS 5600 INTEGRATED SYSTEM

MDR report key: 3118600 · Received May 17, 2013

Report

Report Number
1319681-2013-00106
Event Type
Injury
Date Received
May 17, 2013
Date of Event
April 20, 2013
Report Date
May 17, 2013
Manufacturer
ORTHO-CLINICAL DIAGNOSTICS
Product Code
JJE
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INVESTIGATION CONCLUDES THAT THE CUSTOMER HAD AN ACUTE REACTION WITH SHORTNESS OF BREATH AFTER INHALING SMOKE THAT WAS COMING FROM THE VITROS 5600 INTEGRATED. THE CUSTOMER, WHO HAD A PRE-EXISTING CONDITION, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), RECEIVED MEDICAL TREATMENT (OXYGEN AND ALBUTEROL) IN THE EMERGENCY ROOM AND WAS ABLE TO RETURN TO WORK SHORTLY THEREAFTER. THE OCD FE DETERMINED THAT ELECTRICAL CONNECTORS/CABLES AT THE MASTER COMPUTER HAD MELTED GENERATING THE SMOKE. THE FE SERVICED THE VITROS 5600 INTEGRATED SYSTEM TO RETURN THE INSTRUMENT TO EXPECTED OPERATION. THE ROOT CAUSE OF THE EVENT WAS INSTRUMENT RELATED. THE ISSUE HAS BEEN COMMUNICATED TO CUSTOMERS THROUGH CUSTOMER LETTER (B)(4). THE FDA'S (B)(6) DISTRICT OFFICE WAS NOTIFIED OF THIS ISSUE ON (B)(4) 2013 PER RECALL NUMBER 1319681-05/14/2013-001-C.

Description of Event or Problem · 1

A CUSTOMER REPORTED AN EVENT IN WHICH BLACK SMOKE WAS EMITTING FROM THE VITROS 5600 INTEGRATED SYSTEM CAUSING A CUSTOMER TO BE OVERCOME BY SMOKE INHALATION REQUIRING MEDICAL INTERVENTION. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
219648 VITROS 5600 INTEGRATED SYSTEM CHEMISTRY ANALYZER JJE ORTHO-CLINICAL DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1