FDA Adverse Event Malfunction Summary report: N

COBAS SARS-COV-2 TEST

MDR report key: 11212557 · Received January 22, 2021

Report

Report Number
2243471-2021-00164
Event Type
Malfunction
Date Received
January 22, 2021
Date of Event
August 3, 2020
Report Date
January 21, 2021
Manufacturer
ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG
Product Code
QJR
PMA / PMN Number
EUA200009
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

REPORTER FACILITY NAME TRUNCATED DUE TO CHARACTER LIMIT: (B)(6). A CUSTOMER ALLEGED UNEXPECTED PRESUMPTIVE POSITIVE RESULTS WITH THE COBAS® SARS-COV-2 TEST. 4 SAMPLES GENERATED POSITIVE RESULTS FOR TARGET 2 BUT RETURNED NEGATIVE RESULTS WITH ADDITIONAL TESTING. A REVIEW OF THE DATA INDICATED THE CUSTOMER WAS USING AN OUTDATED VERSION OF COBAS® 6800/8800 SYSTEMS ASAPS FOR THE COBAS® SARS-COV-2 TEST. AS THE CT VALUE WAS WITHIN THE PREDETERMINED RANGE, THE ALGORITHM FUNCTIONED AS INTENDED AND APPROPRIATELY CALLED THE SAMPLE POSITIVE. THE ALGORITHM SETTING HAS BEEN OPTIMIZED TO ACCOUNT FOR ADDITIONAL REAL WORLD DATA WITH IMPROVEMENT ON THE CURVE CLASSIFICATION PARAMETERS. (B)(4).

Description of Event or Problem · 1

THE AGENCY HAS CLARIFIED ITS EXPECTATION THAT MANUFACTURERS OF EMERGENCY USE AUTHORIZATION (EUA) PRODUCTS FOR SARS-COV-2 DIAGNOSTIC TESTS REPORT ALLEGATIONS OF FALSE POSITIVE OR FALSE NEGATIVE RESULTS INDEPENDENT OF HARM OR MALFUNCTION OR OFF-LABEL USE BEYOND 803¿S REASONABLY SUGGESTS REQUIREMENTS. ACCORDINGLY, WE HAVE PERFORMED A RETROSPECTIVE REVIEW OF CASES TO DETERMINE WHETHER TO REPORT ANY ADDITIONAL CASES. A CUSTOMER FROM (B)(6) ALLEGED UNEXPECTED PRESUMPTIVE POSITIVE RESULTS WITH THE COBAS® SARS-COV-2 TEST. 4 PATIENT SAMPLES ORIGINALLY GENERATED TARGET 2 POSITIVE RESULTS, BUT WERE NEGATIVE UPON RETESTING WITH THE GENEEXPERT ASSAY. ADDITIONALLY, PATIENT SAMPLE 2 WAS REPEATED ON THE COBAS® SARS-COV-2 TEST WHICH LIKEWISE GENERATED A NEGATIVE. NO INFORMATION REGARDING SAMPLE COLLECTION AND PREPARATION IS CURRENTLY AVAILABLE. A REVIEW OF THE GROWTH CURVES SHOWED A RELATIVELY FLAT CURVE WITH A SLIGHT RISE IN FLUORESCENCE AT THE BEGINNING OF THE BASELINE THAT CAUSED THE CT VALUE TO BE DETERMINED. AS THE CT VALUE WAS WITHIN THE PREDETERMINED RANGE, THE ALGORITHM FUNCTIONED AS INTENDED AND APPROPRIATELY CALLED THE SAMPLE POSITIVE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
112110 COBAS SARS-COV-2 TEST REAGENTS, 2019-NOVEL CORONAVIRUS NUCLEIC ACID QJR ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG NA G12165

Patients

Seq Age Sex Outcome Treatment
1