MAUDE MDR 7927548

MDR report key
7927548
Report number
1319808-2018-00027
Event key
0
Event type
3
Date of event
2018-09-05
Date received
2018-10-02
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. JAMES A STEVENS
Address
100 INDIGO CREEK DRIVE ROCHESTER NY 14626 US
Phone
585-585-5854
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1VITROS CHEMISTRY PRODUCTS VALP REAGENTIN-VITRO DIAGNOSTICORTHO-CLINICAL DIAGNOSTICSLEG68017102511-25-6393Y Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-10-020

Event Narratives#

N

Patient 1

THE INVESTIGATION CONCLUDED THAT HIGHER AND LOWER THAN EXPECTED RESULTS WERE OBTAINED FROM THREE DIFFERENT LEVELS OF VITROS TDM PV QUALITY CONTROL FLUIDS USING VITROS VALP REAGENT, ON A VITROS 5,1 FS CHEMISTRY SYSTEM. THE ASSIGNABLE CAUSE OF THE HIGHER THAN EXPECTED VITROS VALP RESULTS OBTAINED USING VITROS TDM PV FLUIDS WAS DETERMINED TO BE CALIBRATION RELATED. THE RESPONSES AND PARAMETERS OF THE AFFECTED CALIBRATION APPEARED ATYPICAL TO EXPECTED RESPONSES AND PARAMETERS. RECALIBRATING WITH AN ALTERNATE SET OF CALIBRATORS FROM THE SAME LOT HAD RESOLVED THE ISSUE. THE DEFINITIVE ASSIGNABLE CAUSE OF THE LOWER THAN EXPECTED VITROS TDM PV FLUID RESULTS WAS UNKNOWN, HOWEVER, PRE-ANALYTICAL SAMPLE MIX UP AND IMPROPER FLUID HANDLING PROTOCOL COULD NOT BE RULED OUT AS CONTRIBUTING FACTORS TO THE EVENT. WITHIN-RUN PRECISION TESTING USED TO ASSESS INSTRUMENT PERFORMANCE WAS NOT PERFORMED AND THEREFORE AN INSTRUMENT ISSUE CANNOT BE RULED OUT AS A POTENTIAL CONTRIBUTOR. ACCEPTABLE RESULTS WERE OBTAINED FROM THE SAME REAGENT PACKS THAT INITIALLY GENERATED LOWER THAN EXPECTED RESULTS. ONGOING TRACKING AND TRENDING OF COMPLAINT DATA HAS NOT IDENTIFIED ANY SIGNALS TO SUGGEST THERE IS A SYSTEMIC QUALITY ISSUE WITH VITROS VALP REAGENT LOT 2511-25-6393. THEREFORE, A VITROS VALP REAGENT RELATED ISSUE DID NOT LIKELY CONTRIBUTE TO THE EVENT.

D

Patient 1

A CUSTOMER OBTAINED HIGHER AND LOWER THAN EXPECTED RESULTS FROM THREE DIFFERENT LEVELS OF VITROS TDM PERFORMANCE VERIFIER (PV) QUALITY CONTROL FLUIDS USING VITROS VALPROIC ACID (VALP) REAGENT ON A VITROS 5,1 FS CHEMISTRY SYSTEM. HIGHER THAN EXPECTED RESULTS: VITROS TDM PV I Q5894 RESULTS OF 277.5 AND 351.7 UMOL/L VS. THE EXPECTED RESULT OF 170 UMOL/L. VITROS TDM PV II N5702 RESULTS OF 602.2 AND 722.5 UMOL/L VS. THE EXPECTED RESULT OF 477.5 UMOL/L. VITROS TDM PV III P5703 RESULTS OF 1039.5 UMOL/L VS. THE EXPECTED RESULT OF 835 UMOL/L. LOWER THAN EXPECTED RESULTS: VITROS TDM PV I Q5894 RESULTS OF