inforMED
MalfunctionCGR

DSL 7800 ACTIVE CORTISOL

Received Nov 18, 2011 · Event occurred Jul 9, 2009

Report 1628193-2011-00005 · MDR key 2351738

Device

Model number

NA

Catalog number

DSL-10-2000

Lot number

990168

Product problems

  • High Test Results

Patient

UNK

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

BECKMAN COULTER, INC. QUALITY ASSURANCE REPORTED ELEVATED CORTISOL RESULTS, FOR PT SERUM SAMPLES, INVOLVING DSL 7800 ACTIVE CORTISOL. THE ELEVATED RESULTS WERE NOT RELEASED OUT OF THE LABORATORY. THERE HAS BEEN NO REPORT OF PT INJURY OR CHANGE IN PT TREATMENT ASSOCIATED WITH THE LOT IN QUESTION.

Additional Manufacturer Narrative

INVESTIGATION WAS CONDUCTED TO STUDY BIAS FOR THE DSL (DIAGNOSTICS SYSTEMS LABORATORIES) CORTISOL EIA (ENZYME IMMUNOASSAY). THE ASSAY WAS NOT ANCHORED PROPERLY AND DRIFTED OVER TIME. THE PRODUCT HAS BEEN DISCONTINUED. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW OF PRODUCT COMPLAINTS CONDUCTED FROM (B)(6) 2008 THROUGH (B)(6) 2010 FOR ADDITIONAL REPORTABLE EVENTS.

Remedial action

  • Notification