MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-10-15 for VITROS CHEMISTRY PRODUCTS AMON SLIDES 1721869 manufactured by Ortho-clinical Diagnostics.
[126114926]
The investigation concluded that a higher than expected result was obtained from a single patient sample using vitros amon micro slides on a vitros 5600 integrated system. The investigation could not determine the assignable cause of the event. The samples were processed within 12 minutes on both systems; therefore, improper pre-analytical sample handing did not likely contribute to the event. There were no historical quality control results available to access the performance of the amon lot on the affected vitros 5600 system. However, ongoing tracking and trending of complaints has not identified any signals that would suggest there is a systemic issue with vitros amon reagent lot 1017-0248-5923. A vitros amon within-run precision test was acceptable for both accuracy and precision, indicating an analyzer related issue did not likely contribute to the event. However, only a single level of quality control was processed for the precision test, and it is unknown if the calibration in use was acceptable across the amon measuring range. Therefore, it is possible the event was due to calibration to calibration variation.
Patient Sequence No: 1, Text Type: N, H10
[126114927]
A customer reported unexpected results obtained from a patient sample correlation performed between two different vitros 5600 integrated systems using vitros clinical chemistry products ammonia (amon) slides. Patient sample result of 94 umol/l vs. The expected result of 77 umol/l. Biased results of the magnitude and direction observed may lead to inappropriate physician action if they were to occur undetected on patient samples. The higher than expected patient sample result was not reported outside of the laboratory and there was no allegation of patient harm. This report corresponds to ortho clinical diagnostics inc. (b)(4).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1319809-2018-00113 |
| MDR Report Key | 7967333 |
| Date Received | 2018-10-15 |
| Date of Report | 2018-10-15 |
| Date of Event | 2018-09-19 |
| Date Mfgr Received | 2018-09-19 |
| Device Manufacturer Date | 2017-12-01 |
| Date Added to Maude | 2018-10-15 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. JAMES A STEVENS |
| Manufacturer Street | 100 INDIGO CREEK DRIVE |
| Manufacturer City | ROCHESTER NY 14626 |
| Manufacturer Country | US |
| Manufacturer Postal | 14626 |
| Manufacturer Phone | 5854533000 |
| Manufacturer G1 | ORTHO-CLINICAL DIAGNOSTICS |
| Manufacturer Street | 513 TECHNOLOGY BLVD. |
| Manufacturer City | ROCHESTER NY 14652 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 14652 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | VITROS CHEMISTRY PRODUCTS AMON SLIDES |
| Generic Name | IN VITRO DIAGNOSTICS |
| Product Code | JID |
| Date Received | 2018-10-15 |
| Catalog Number | 1721869 |
| Lot Number | 1017-0248-5923 |
| Device Expiration Date | 2019-05-01 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ORTHO-CLINICAL DIAGNOSTICS |
| Manufacturer Address | 100 INDIGO CREEK DRIVE ROCHESTER NY 14626 US 14626 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-10-15 |