FDA Adverse Event Injury Summary report: N

TAQPATH COVID-19 INTERPRETIVE SOFTWARE

MDR report key: 10312088 · Received July 22, 2020

Report

Report Number
MW5095667
Event Type
Injury
Date Received
July 22, 2020
Date of Event
July 16, 2020
Report Date
July 21, 2020
Manufacturer
THERMO FISHER SCIENTIFIC
Product Code
QJR
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
KY, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

FALSE POSITIVE COVID RESULTS REPORTED FOR 29 PTS AS A RESULT OF A FLAW IN THE MFR'S INTERPRETIVE SOFTWARE, (B)(4) ON (B)(6) 2020, (B)(6) LABORATORY SCIENTIST REPORTED TO THERMO FISHER SCIENTIFIC THAT REPEATED ATTEMPTS TO RECONCILE RAW DATA FROM THE TESTING INSTRUMENT WITH RESULTS GENERATED BY THE COVID INTERPRETIVE SOFTWARE WERE UNSUCCESSFUL. CONSEQUENTLY, 7 POSITIVE SAMPLES WERE REPORTED UTILIZING ANOTHER PLATFORM. ONLY 2 OF THE 7 CONFIRMED AS POSITIVE. THE 5 FALSE POSITIVES WERE REPORTED TO (B)(6) AND TO THE HEALTH DEPARTMENT. ON (B)(6) 2020 THE (B)(6) CLINICAL LABORATORY DETERMINED THAT ALL NEW POSITIVE RESULTS WOULD BE MANUALLY REVIEWED AND ANY QUESTIONABLE RESULTS WOULD BE REPEATED ON A SEPARATE PLATFORM. ON (B)(6) 2020, LABORATORY LEADERSHIP CONCLUDED THAT ALL POSITIVE RESULTS TESTED ON THIS INSTRUMENT PRIOR TO (B)(6) SHOULD ALSO BE REVIEWED. RESULTS WITH A DISCREPANCY BETWEEN THE RAW DATA AND THAT SOFTWARE INTERPRETATION WERE RETESTED ON A DIFFERENT TESTING PLATFORM. THIS RETESTING IDENTIFIED A TOTAL OF 29 FALSE POSITIVE RESULTS, WHICH IMPACTED 19 (B)(6) PATIENTS AND 10 EXTERNAL ACCOUNTS. AS OF TUESDAY (B)(6) 2020, ALL POSITIVES FROM THE THERMO FISHER ARE BEING CONFIRMED UTILIZING ANOTHER PLATFORM PRIOR TO RELEASE OF RESULTS. ALL FALSE POSITIVES WILL HAVE CORRECTED REPORTS ISSUED. ALL PATIENTS, PROVIDERS AND THE APPROPRIATE HEALTH DEPARTMENTS WILL BE NOTIFIED. THE INSTRUMENT MANUFACTURER HAS BEEN NOTIFIED OF OUR FINDINGS. THE (B)(6) CLINICAL LABORATORY HAS RIGOROUSLY FOLLOWED THE PROCEDURE AS PROVIDED BY THERMO FISHER FOR TESTING UTILIZING THIS FDA EUA PLATFORM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
774049 TAQPATH COVID-19 INTERPRETIVE SOFTWARE REAGENTS, 2019-NOVEL CORONAVIRUS NUCLEIC ACID QJR THERMO FISHER SCIENTIFIC VERSION 2.2

Patients

Seq Age Sex Outcome Treatment
1 Other