ORTHO VERSEIA PIPETTER 5561701

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2014-05-06 for ORTHO VERSEIA PIPETTER 5561701 manufactured by Ortho Clinical Diagnostics.

Event Text Entries

[20855991] During an ocd internal review on (b)(4) 2014 for (b)(4) it was discovered that plate bk0856 from testing date (b)(4) 2013 to the hbsag assay had a control well that did not pipette. (b)(4). Upon discovery, cts contacted the customer on (b)(4) 2014 to determine if the plate was dispositioned (b)(4). Customer investigated and determined that plate bk0856 from (b)(4) 2013 was aborted per (b)(4) and all sample testing was repeated.
Patient Sequence No: 1, Text Type: D, B5


[21156715] On (b)(4) 2013, ortho clinical diagnostics (ocd) notified customers ((b)(4)) of an ortho verseia? Pipetter software issue that can occur during plate processing when the verseia? Pipetter performs the? Retry? Function to recover from a? No tip? Error (hamilton error code 8). The letter stated that the previously generated results may have been impacted. Ocd customer technical services will review all available data received via e-connectivity to identify any adverse events and will inform customers of any erroneous results generated due to this issue. Any devices not e-connected, ocd will be working with customers to obtain historical data from these instrument(s). The letter also listed the following required actions;? Discard all results for any plate for which a plate pipette error report lists a? No tip? Error after processing on the ortho verseia? Pipetter. ? Post this notification in your laboratory or with your user documentation. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2250051-2014-00044
MDR Report Key3793448
Report Source05
Date Received2014-05-06
Date of Report2014-05-06
Date of Event2013-11-19
Date Mfgr Received2014-04-07
Date Added to Maude2014-06-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS. MARTA CARNIELLI
Manufacturer Street1001 ROUTE 202
Manufacturer CityRARITAN NJ 08869
Manufacturer CountryUS
Manufacturer Postal08869
Manufacturer Phone9082181000
Single Use3
Remedial ActionNO
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameORTHO VERSEIA PIPETTER
Generic NameSAMPLE PIPETTER
Product CodeMMH
Date Received2014-05-06
Model Number5561701
Catalog Number5561701
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerORTHO CLINICAL DIAGNOSTICS
Manufacturer Address1001 ROUTE 202 RARITAN NJ 08869 US 08869


Patients

Patient NumberTreatmentOutcomeDate
10 2014-05-06

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