VITROS 5600 INTEGRATED SYSTEM 6802413

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-08-14 for VITROS 5600 INTEGRATED SYSTEM 6802413 manufactured by Ortho-clinical Diagnostics.

Event Text Entries

[82938445] The investigation determined that lower than expected vitros amon results were obtained when testing non-vitros quality controls on a vitros 5600 integrated system. The assignable cause of this event was instrument related. The results of a diagnostic within run vitros amon precision test was not acceptable indicating an instrument related issue. After service actions were completed to clean the evaporation caps and adjusting the slide align guides, the precision was acceptable indicating service actions had returned the analyzer to acceptable performance. The customer continued to obtain unacceptable amon results and an issue was identified involving the slide supply humidity affecting quality control results for multiple assays. After the ortho fe replaced the humidity plate, post-service quality control testing was acceptable indicating the actions have resolved the issue. Since unacceptable performance was observed for multiple reagents including vitros amon and acceptable performance was observed after the service actions using the current reagent lot, vitros amon lot 1017-0245-0578 can be ruled out as a contributing factor.
Patient Sequence No: 1, Text Type: N, H10


[82938446] The customer observed lower than expected vitros amon results when testing a non-vitros quality control fluid on a vitros 5600 integrated system. Biorad quality control level 3 lot 54193 vitros amon results 139. 1 and 145. 5 umol/l versus expected 259. 99 umol/l. Biased results of the direction and magnitude observed may lead to inappropriate physician action. The vitros amon results were obtained when testing non-vitros quality control samples. There was no allegation of patient harm as a result of the event. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1319681-2017-00064
MDR Report Key6792806
Date Received2017-08-14
Date of Report2017-08-14
Date of Event2017-07-12
Date Mfgr Received2017-07-17
Device Manufacturer Date2015-09-09
Date Added to Maude2017-08-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. JAMES A STEVENS
Manufacturer Street100 INDIGO CREEK DRIVE
Manufacturer CityROCHESTER NY 14626
Manufacturer CountryUS
Manufacturer Postal14626
Manufacturer Phone5854533000
Manufacturer G1ORTHO-CLINICAL DIAGNOSTICS
Manufacturer Street100 INDIGO CREEK DRIVE
Manufacturer CityROCHESTER NY 14626
Manufacturer CountryUS
Manufacturer Postal Code14626
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 0

Brand NameVITROS 5600 INTEGRATED SYSTEM
Generic NameCHEMISTRY ANALYZER
Product CodeJIF
Date Received2017-08-14
Catalog Number6802413
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No0
Device Event Key0
ManufacturerORTHO-CLINICAL DIAGNOSTICS
Manufacturer Address100 INDIGO CREEK DRIVE ROCHESTER NY 14626 US 14626

Device Sequence Number: 1

Brand NameVITROS 5600 INTEGRATED SYSTEM
Generic NameCHEMISTRY ANALYZER
Product CodeJJE
Date Received2017-08-14
Catalog Number6802413
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerORTHO-CLINICAL DIAGNOSTICS
Manufacturer Address100 INDIGO CREEK DRIVE ROCHESTER NY 14626 US 14626


Patients

Patient NumberTreatmentOutcomeDate
10 2017-08-14

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