VITROS 4600 CHEMISTRY SYSTEM 6802445

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-09-25 for VITROS 4600 CHEMISTRY SYSTEM 6802445 manufactured by Ortho-clinical Diagnostics.

Event Text Entries

[88251758] The investigation determined that higher than expected vitros valp quality control results were obtained from vitros and non-vitros qc fluids run on a vitros 4600 chemistry system. The most likely assignable cause of this event was instrument related. Historical quality control results indicate that within-laboratory quality control precision was unacceptable. An ortho field engineer replaced the photometer lamp and uia metering proboscis, cleaned the photometer filter wheel and lens, fiber optic cable, cuvette incubator and the cuvette transport arm and window and performed all associated adjustments. After the completion of the service actions, one week of vitros valp quality control results was evaluated and verified acceptable within laboratory precision performance. The investigation determined that the likely assignable cause of this event was instrument related.
Patient Sequence No: 1, Text Type: N, H10


[88251759] A customer observed higher than expected vitros valp quality control results from vitros and non-vitros biorad control fluids processed on the vitros 4600 integrated system. (b)(6). Biased results of the direction and magnitude observed could lead to inappropriate physician action. Ortho was not made aware of any patient sample results being affected. However, the investigation cannot definitively conclude that patient sample results were not affected or would not be affected if the event were to recur undetected. There was no allegation of patient harm as a result of this event. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1319681-2017-00081
MDR Report Key6889688
Date Received2017-09-25
Date of Report2017-09-25
Date of Event2017-08-29
Date Mfgr Received2017-08-29
Device Manufacturer Date2012-07-26
Date Added to Maude2017-09-25
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 4600 CHEMISTRY SYSTEM
Generic NameCHEMISTRY ANALYZER
Product CodeLEG
Date Received2017-09-25
Catalog Number6802445
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 4600 CHEMISTRY SYSTEM
Generic NameCHEMISTRY ANALYZER
Product CodeJJE
Date Received2017-09-25
Catalog Number6802445
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 2017-09-25

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