VITROS CHEMISTRY PRODUCTS VALP REAGENT 6801710

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-08-30 for VITROS CHEMISTRY PRODUCTS VALP REAGENT 6801710 manufactured by Ortho-clinical Diagnostics.

Event Text Entries

[119649453] The investigation determined that a lower than expected vitros valp result was obtained from a patient sample processed as part of a valp lot to lot correlation using a vitros 5600 integrated system. The definitive assignable cause of this event could not be determined. However, a possible contributor to the event was suspected to be calibration to calibration variability. There was no indication of a performance issue with either valp lot (2511-25-6393 and 2511-26-6711) based on qc performance; however, the accuracy of results obtained using valp lot 2511-25-6393 was lower than the accuracy of results obtained using valp lot 2511-26-6711 as shown with the patient correlation results. Continual tracking and trending of complaints has not identified any signals that would indicate a potential systemic issue with either of the vitros valp reagent lots. An instrument related issue is not a likely cause of the event as the two vitros 5600 systems generated reproducible results.
Patient Sequence No: 1, Text Type: N, H10


[119649454] The customer obtained a lower than expected vitros valp result (66. 41 ug/ml versus expected 83. 17, 83. 53, 86. 31 ug/ml) from a patient sample processed using the vitros 5600 integrated system. Biased results of the magnitude and direction observed may lead to inappropriate physician action if they were to occur undetected. The patient sample result in question was obtained as part of valp lot to lot correlation study and therefore, no patient results were reported outside the laboratory. There was no reported allegation of patient harm as a result of this event. This report corresponds to ortho clinical diagnostics inc. Complaint number (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1319808-2018-00024
MDR Report Key7834697
Date Received2018-08-30
Date of Report2019-01-04
Date of Event2018-08-02
Date Mfgr Received2018-08-03
Device Manufacturer Date2017-10-05
Date Added to Maude2018-08-30
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 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 Street1000 LEE ROAD
Manufacturer CityROCHESTER NY 14606
Manufacturer CountryUS
Manufacturer Postal Code14606
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameVITROS CHEMISTRY PRODUCTS VALP REAGENT
Generic NameIN VITRO DIAGNOSTICS
Product CodeLEG
Date Received2018-08-30
Catalog Number6801710
Lot Number2511-25-6393
Device Expiration Date2019-04-05
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
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 2018-08-30

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