BIOGX SARS-COV-2 OPEN SYSTEM REAGENTS FOR BD MAX SYSTEM
Report
- Report Number
- 1119779-2020-00346
- Event Type
- Malfunction
- Date Received
- September 18, 2020
- Date of Event
- August 31, 2020
- Report Date
- November 18, 2020
- Manufacturer
- BECTON, DICKINSON & CO.
- Product Code
- QJR
- PMA / PMN Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
H6: INVESTIGATION SUMMARY THE COMPLAINT INVESTIGATION FOR DISCREPANT RESULTS USING THE BIOGX SARS-COV-2 OSR FOR BD MAX SYSTEM (REF (B)(4)) (UNKNOWN LOT#) ALONG WITH THE KIT BD MAX EXK TNA 3 PRODUCT LOT 0182268 WAS PERFORMED BY BD. SINCE NO KIT LOT # WAS PROVIDED BY THE CUSTOMER, BIOGX COULD NOT PERFORM THE MANUFACTURING REVIEW ON THE BIOGX SARS-COV-2 OSR SPECIFIC LOT. THE INVESTIGATION WAS PERFORMED BY THE REVIEW OF MANUFACTURING RECORD ON THE BD MAX EXK TNA 3 KIT LOT 0182268, THE REVIEW OF CUSTOMER DATA AND THE VERIFICATION OF COMPLAINTS HISTORY. REVIEW OF THE MANUFACTURING RECORDS OF BD MAX EXK TNA 3 INDICATED THAT THE LOT WAS MANUFACTURED ACCORDING TO SPECIFICATIONS. CUSTOMER REPORTED HIGH POSITIVE RESULTS AND PROVIDED DATABASE FROM INSTRUMENT CT1735 FOR ANALYSIS. THE RUN #102 NAMED IN THE COMPLAINT TEXT CONTAINED MOSTLY POSITIVE RESULTS, BUT CUSTOMER DID NOT MENTION WHICH SAMPLE WAS DISCREPANT. ANALYSIS OF THE DATABASE SHOWS THAT SOME ENVIRONMENTAL MONITORING WAS DONE AND MANY OF THE SITES TESTED WERE POSITIVE. THE RUN #116 SHOWS THAT ALL SURFACE SWABBED GAVE POSITIVE RESULTS, SOMETIMES ONLY FOR N1 AND OTHER TIMES FOR BOTH N1 AND N2. ANALYSIS OF THE CURVES REVEALED HIGH FLUORESCENCE VALUES OF EACH SAMPLE WITH TRUE AMPLIFICATION. MOREOVER, AN ENVIRONMENTAL SAMPLE TAKEN ON QIAQUANT COUNTERTOP OBTAINED CT VALUES AROUND 22 FOR BOTH TARGETS, WHICH REPRESENTS A HIGH LOAD. AN ENVIRONMENTAL CONTAMINATION IS STRONGLY SUSPECTED, AND THE QIAQUANT COUNTER TOP COULD BE THE SOURCE. THERE IS NO INDICATION OF AN INCREASE IN COMPLAINTS FOR DISCREPANT RESULTS COMPLAINTS FOR THE BIOGX SARS-COV-2 OSR PRODUCT. THE ROOT CAUSE WAS NOT IDENTIFIED. BD CANNOT CONFIRM THE COMPLAINT BASED ON THE INVESTIGATION THAT WAS PERFORMED. BD & BIOGX PRODUCT MANUFACTURER DID NOT INITIATE A CORRECTIVE AND PREVENTIVE ACTION (CAPA). EUA #: (B)(4).
IT WAS REPORTED THAT WHILE USING BIOGX SARS-COV-2 OPEN SYSTEM REAGENTS FOR BD MAX¿ SYSTEM A HIGH RATE OF FALSE POSITIVE RESULTS WERE OBTAINED BY THE LABORATORY PERSONNEL. MULTIPLE ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION. IT IS UNKNOWN IF ERRONEOUS RESULTS WERE REPORTED OUT. THERE WAS NO REPORT OF PATIENT IMPACT. EUA #: EUA(B)(4).
MEDICAL DEVICE EXPIRATION DATE: UNKNOWN. DEVICE MANUFACTURE DATE: UNKNOWN. A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED, BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED. (B)(4).
IT WAS REPORTED THAT WHILE USING BIOGX SARS-COV-2 OPEN SYSTEM REAGENTS FOR BD MAX¿ SYSTEM A HIGH RATE OF FALSE POSITIVE RESULTS WERE OBTAINED BY THE LABORATORY PERSONNEL. MULTIPLE ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION. IT IS UNKNOWN IF ERRONEOUS RESULTS WERE REPORTED OUT. THERE WAS NO REPORT OF PATIENT IMPACT. EUA #: (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1021910 | BIOGX SARS-COV-2 OPEN SYSTEM REAGENTS FOR BD MAX SYSTEM | SARS-COV-2 REAGENT KIT | QJR | BECTON, DICKINSON & CO. | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |