inforMED
MalfunctionGGP

HEMOSIL VON WILLEBRAND FACTOR ACTIVITY

Received May 24, 2012 · Event occurred Apr 16, 2012

Report 1217183-2012-00008 · MDR key 2593700

Device

Generic name

Factor Deficiency Test

Model number

NA

Catalog number

0020004700

Lot number

B11498

Product problems

  • Incorrect Or Inadequate Test Results

Patient

Not reported

  • No Information

Narrative

Description of Event or Problem

CUSTOMER STATED THEY ARE A REFERENCE LAB USING A STA-R EVOLUTION INSTRUMENT WITH VWF ACTIVITY PART NUMBER 20004700, LOT B11498. THEY HAVE 4 SAMPLES THAT WERE VERIFIED AS ERRONEOUS BY AN ALTERNATE METHOD.

Additional Manufacturer Narrative

THIS PRODUCT LOT NUMBER, B11498, IS UNDER RECALL ACTION AND IS ON FILE WITH THE FDA AS A CLASS II ACTION (REFERENCE Z-1519-2012). THE CUSTOMER HAD NOT RECEIVED THE RECALL NOTIFICATION AT THE TIME OF THE INCIDENT AND HAS SINCE RECEIVED THE NOTIFICATION AND FOLLOWED THE NECESSARY ACTIONS. PER THE CUSTOMER, NO PT TREATMENT OR ADVERSE EVENTS WERE INVOLVED WITH THIS COMPLAINT. FURTHER, (B)(4) MAKES NO CLAIM FOR PERFORMANCE OF THIS REAGENT ON A NON-IL ANALYZER WHICH THE CUSTOMER WAS USING.