inforMED

ACCESS® FREE T4 ASSAY

Received Jul 19, 2011 · Event occurred May 20, 2011

Report 2122870-2011-02159 · MDR key 2168138

Device

Generic name

Enzyne Immunoassay, Free T4

Model number

NA

Catalog number

33880

Lot number

NOT SUPPLIED

Product problems

  • Incorrect Or Inadequate Test Results

Patient

60 YR

  • No Information

Narrative

Additional Manufacturer Narrative

CUSTOMER DID NOT CONTACT BEC TO EXPRESS CONCERN. INFORMATION REGARDING THIS EVENT IS OBTAINED FROM (B)(4). ATTEMPT TO FOLLOW UP WITH CUSTOMER HAS BEEN MADE AND THEY STATED THAT THERE HAD BEEN NO ADDITIONAL TESTING PERFORMED. NO INTERFERENCE IS SUSPECTED AS IT WOULD HAVE BEEN PRESENT ON THE SUBSEQUENT REDRAW. THE INITIAL SAMPLE HAD BEEN TOSSED BY THE TIME THE DISCREPANCY WAS NOTED. NO ROOT CAUSE IS DETERMINED WITH INFORMATION SUPPLIED. BEC REP SPOKE WITH (B)(6) WHEN CONTACTED THE ACCOUNT IN ATTEMPT TO INVESTIGATE THE EVENT. AN MDR NUMBER: 2122870-2011-02198 HAS BEEN SUBMITTED FOR TSH.

Description of Event or Problem

A CUSTOMER POSTED THYROID-STIMULATING HORMONE (TSH) AND FREE T4 (FRT4) RESULTS FROM ONE PATIENT, DRAWN 5 DAYS APART TO THE (B)(4) WEBSITE. ON DAY ONE (1), THE FRT4 RESULT IS NORMAL. ON DAY FIVE (5), THE FRT4 RESULT IS ABOVE THE REFERENCE RANGE. UPON FOLLOW UP, THE CUSTOMER DID NOT FEEL THAT FURTHER INVESTIGATION WAS WARRANTED. IT IS UNKNOWN IF THERE WAS ANY CHANGE TO PATIENT TREATMENT ATTRIBUTED TO OR CONNECTED WITH THIS EVENT.