MAUDE MDR 2185817

MDR report key
2185817
Report number
1823260-2011-04113
Event key
0
Event type
3
Date of event
2011-07-19
Date received
2011-08-01
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
NA JENNIFER WOLFGRAM
Address
9115 HAGUE ROAD NA INDIANAPOLIS IN 46250 US
Phone
317-317-3175
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ASPARTATE AMINOTRANSFERASE ACC. TO IFCC WITHOUT PYRIDOXAL PHOSPHATE ACTIVATIONNADH OXIDATION/NAD REDUCTION, AST/SGOTROCHE DIAGNOSTICSCITNA20764949322ASKUR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12011-08-010

Event Narratives#

N

Patient 1

A SPECIFIC ROOT CAUSE COULD NOT BE DETERMINED. IT WAS NOTED THE ISSUE HAS NOT REOCCURRED SINCE THE USER BEGAN DISCARDING THE CUPS AND STOPPED REUSING EMPTY CUPS. GOOD LABORATORY PRACTICE IS ESSENTIAL TO THE GENERATION OF PLAUSIBLE PATIENT RESULTS. NONE OF THE PATIENTS WAS ADVERSELY AFFECTED IN THIS CASE.

D

Patient 1

THE USER RECEIVED QUESTIONABLE RESULTS FOR TWO PATIENT SAMPLES THAT HAD BEEN ALIQUOTED BY THE MPA (MODULAR PREANALYTIC ANALYZER) THEN TESTED ON THE COBAS C501 ANALYZER SERIAL NUMBER (B)(4). DATA WAS PROVIDED FOR ONE PATIENT SAMPLE WHOSE RESULTS WERE DISCREPANT AND REPORTED OUTSIDE THE LABORATORY. THE INITIAL AST RESULT WAS 14 U/L AND THE REPEAT RESULT FROM THE PRIMARY TUBE WAS 22 U/L. THE PATIENT WAS NOT ADMITTED TO A MEDICAL FACILITY; TREATMENT WAS NOT PROVIDED, ALTERED OR WITHHELD DUE TO THE ERRONEOUS RESULTS THAT WERE REPORTED OUT. THE USER DECLINED A SERVICE VISIT AND STATED SHE WOULD MONITOR THE SITUATION. THE USER STATED THEY WERE TOLD NOT TO REUSE THE EMPTY CUPS LEFT IN THE RACKS AFTER PROCESSING BY THE MPA, BUT THEY DECIDED TO CHECK THE CUPS AND IF THEY LOOKED EMPTY, THEN THEY WOULD REUSE THE CUPS. THEY HAVE DISCONTINUED REUSING EMPTY CUPS THAT WERE LEFT IN THE RACKS AND HAVE NOT EXPERIENCED A REOCCURRENCE OF THE ISSUE.

N

Patient 1

OTHER ASSAYS RELATED TO THIS EVENT ARE REPORTED IN MEDWATCH REPORTS WITH PATIENT IDENTIFIERS: (B)(6).