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 2017-09-26 for VITROS 5600 INTEGRATED SYSTEM 6802413 manufactured by Ortho-clinical Diagnostics.

Event Text Entries

[89468808] The investigation determined that lower than expected quality control results were obtained on vitros myog reagent using non-vitros biorad quality control material on a vitros 5600 integrated system. It was concluded that the qc shift low was caused by an instrument issue as the same non-vitros biorad qc fluids were run on the customer? S other analyzer without experiencing the same shift. A review of the historical qc results indicates qc performance was acceptable up until the day of the event. An ortho fe performed service actions including replacement of the reagent metering probe, inspections of the microwell incubator, and verification of adjustments to well wash, signal reagent, micro-immunoassay metering and luminometer subsystems. Acceptable myog qc performance has been maintained following service actions.
Patient Sequence No: 1, Text Type: N, H10


[89468809] The customer observed lower than expected quality control results on vitros myog reagent using non-vitros biorad quality control material on a vitros 5600 integrated system. (b)(6). The customer discontinued patient sample testing because quality control was unacceptable. However, the investigation cannot conclude that patient sample results would not be affected if the event were to recur undetected. There was no allegation of harm. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1319681-2017-00084
MDR Report Key6894861
Date Received2017-09-26
Date of Report2017-09-26
Date of Event2017-08-17
Date Mfgr Received2017-08-29
Device Manufacturer Date2013-03-14
Date Added to Maude2017-09-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL TECHNOLOGIST
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 CodeDDR
Date Received2017-09-26
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 Received2017-09-26
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 2017-09-26

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