inforMED
MalfunctionDHR

IMMAGE® RHEUMATOID FACTOR REAGENT

Received Mar 21, 2012 · Event occurred Feb 17, 2012

Report 2050012-2012-00720 · MDR key 2499250

Device

Generic name

Rheumatoid Factor Test Reagent

Model number

IMMAGE RF

Catalog number

447070

Lot number

M103174

Product problems

  • Incorrect Or Inadequate Test Results

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

A CUSTOMER REPORTED TO BECKMAN COULTER INC. (BCI) THAT ERRONEOUSLY ELEVATED RHEUMATOID FACTOR (RF) RESULTS HAD BEEN GENERATED BY IMMAGE 800 IMMUNOCHEMISTRY SYSTEM. IMMAGE RHEUMATOID FACTOR REAGENT LOT M103174 WAS USED FOR THE ASSAYS. THE CUSTOMER INDICATED THERE HAD BEEN TOO MANY RF RESULTS BETWEEN 20 IU/ML AND 25 IU/ML FOR THE PATIENTS FOR WHOM RF RESULTS BELOW 20 IU/ML WERE EXPECTED. THE ERRONEOUS RESULTS WERE REPORTED OUT OF THE LABORATORY. THE CUSTOMER INDICATED THERE HAD BEEN NO REPORT OF ANY CHANGE TO PATIENT TREATMENT BASED ON THE ERRONEOUSLY REPORTED RESULTS. IMMAGE 800 IMMUNOCHEMISTRY SYSTEM: CATALOGUE NUMBER - A15445, SERIAL NUMBER - (B)(4). PRODUCT CODE - JQX, NEPHELOMETER, FOR CLINICAL USE. THE 510(K) NUMBER - K962294.

Additional Manufacturer Narrative

NO SAMPLE INFORMATION WAS PROVIDED. QC RESULTS PROVIDED BY THE CUSTOMER APPEAR ACCEPTABLE. THE CUSTOMER INDICATED ISSUE STARTED WHEN THEY BEGAN USING RF REAGENT LOT M103174. ROOT CAUSE IS NOT KNOWN BUT THIS APPEARS TO BE A REAGENT ISSUE.