MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-12-22 for VITROS CHEMISTRY PRODUCTS AMPH REAGENT 6801991 manufactured by Ortho-clinical Diagnostics.
[63611247]
The investigation determined that four lower than expected vitros amph proficiency sample results occurred on a vitros 5600 chemistry system. The assignable cause is a known limitation of the vitros amph reagent. The mdma compound present in the samples has a low cross reactivity with the vitros amph reagent as stated in the vitros amph instructions for use (ifu). The vitros 5600 system did not malfunction.
Patient Sequence No: 1, Text Type: N, H10
[63611248]
A customer observed multiple lower than expected vitros amph results obtained from two proficiency samples processed on a vitros 5600 chemistry system. Sample uds-a-01-vitros amph results of 272, and 260 ng/ml versus expected positive results (>1000 ng/ml). Sample uds-a-04-vitros amph results of 363 and 384 ng/ml versus expected positive results (>1000 ng/ml). The customer made no allegations that patient sample results were affected. However, biased patient results of the direction and magnitude observed may lead to inappropriate physician action if occurred undetected. There was no allegation of patient harm as a result of this event. (b)(4).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1319808-2016-00043 |
| MDR Report Key | 6198370 |
| Date Received | 2016-12-22 |
| Date of Report | 2016-12-22 |
| Date of Event | 2016-12-08 |
| Date Mfgr Received | 2016-12-08 |
| Device Manufacturer Date | 2016-06-17 |
| Date Added to Maude | 2016-12-22 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. JAMES A STEVENS |
| Manufacturer Street | 100 INDIGO CREEK DRIVE |
| Manufacturer City | ROCHESTER NY 14626 |
| Manufacturer Country | US |
| Manufacturer Postal | 14626 |
| Manufacturer Phone | 5854533000 |
| Manufacturer G1 | ORTHO-CLINICAL DIAGNOSTICS |
| Manufacturer Street | 1000 LEE ROAD |
| Manufacturer City | ROCHESTER NY 14606 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 14606 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | VITROS CHEMISTRY PRODUCTS AMPH REAGENT |
| Generic Name | IN VITRO DIAGNOSTICS |
| Product Code | DKZ |
| Date Received | 2016-12-22 |
| Catalog Number | 6801991 |
| Lot Number | 1521-07-5451 |
| Device Expiration Date | 2017-06-17 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ORTHO-CLINICAL DIAGNOSTICS |
| Manufacturer Address | 100 INDIGO CREEK DRIVE ROCHESTER NY 14626 US 14626 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2016-12-22 |