inforMED
MalfunctionLKJ

ANTI-HUMAN GLOBULIN ANTI-IGG

Received Aug 23, 2011 · Event occurred Jun 30, 2011

Report 9610824-2011-00107 · MDR key 2254835

Device

Generic name

Ahg Anti-igg

Catalog number

804175100

Lot number

7039091-04

Product problems

  • Incorrect Or Inadequate Test Results

Patient

Not reported

  • Reaction

Narrative

Description of Event or Problem

THE CUSTOMER COMPLAINED THAT THEY MISSED AN INCOMPATIBLE CROSSMATCH CAUSED BY ANTI-IGG ART#: (B)(4), LOT 7039091-04. CUSTOMER REPORTED THEY DETECTED ANTI-JK(A) AND ANTI-FY(A) BUT MISSED AN ANTI-E AND GOT THEREFORE AN TRANSFUSION REACTION. CUSTOMER SENT US THE PT SAMPLE, THE COMPLAINT SAMPLE ANTI-IGG AND THE ANTI-IGG OF A COMPETITOR. THE PT SAMPLE WAS TESTED WITH THE ALLEGEDLY DEFECTIVE ANTI-IGG IN PARALLEL TO THE COMPETITOR'S ANTI-IGG. BOTH REAGENTS SHOWED COMPLETELY IDENTICAL REACTIONS. FURTHER TESTS SHOWED THAT THE ADD'L ANTIBODY WAS NOT AN ANTI-E BUT ANTI-K. THIS ANTIBODY COULD BE IDENTIFIED UNAMBIGUOUSLY WITH THE COMPLAINT SAMPLE ANTI-IGG, TESTING OF QUALITY CONTROL LAB CONFIRMED THE CORRECT FUNCTION OF THE COMPLAINED ANTI-IGG LOT. A REVIEW OF THE BATCH RECORD DOCUMENTATION SHOWED NO IRREGULARITIES WHICH MIGHT HAVE AFFECTED NEGATIVELY THE COMPLAINED LOT'S QUALITY.

Additional Manufacturer Narrative

(B)(4).