FDA Adverse Event Other Summary report: N

ABBOTT TESTPACK RSV

MDR report key: 113491 · Received June 16, 1997

Report

Report Number
1451914-1997-00028
Event Type
Other
Date Received
June 16, 1997
Date of Event
April 24, 1997
Report Date
June 13, 1997
Manufacturer
ABBOTT LABORATORIES
Product Code
GQG
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Description of Event or Problem · 1

ON 4/23/97, THE ACCOUNT REPORTED A NEGATIVE RESULT FOR THE TESTPACK RSV ASSAY ON A PT SAMPLE. ACCORDING TO THE ACCOUNT, THE INFANT HAD INGESTED 2 OZ. OF SIMILAC TO PRIOR TO OBTAINING THE NASPHARYNGEAL WASH SPECIMEN. THE PT WAS DISCHARGED FROM THE HOSPITAL ON 4/25/97 AND ADMITTED TO ANOTHER HOSPITAL ON 4/27/97. A NEW SPECIMEN, OBTAINED AT THE OTHER HOSPITAL, TESTED POSITIVE WITH RSV TESTPACK KIT, LOT 26838M200. THE PT WAS TREATED FOR RSV ON 4/28/97 AND DISCHARGED FROM THE HOSPITAL. NO REPORT OF INJURY. A POSITIVE RESULT WAS RECEIVED WHEN THE SAMPLE WAS FIRST TESTED. THE SAMPLE WAS RECEIVED IN A SALINE TRANSPORT MEDIA. SALINE WAS USED AS A NEGATIVE CONTROL AND PERFORMED AS EXPECTED. THE KIT IS STORED AT 2-8C AND ALLOWED TO WARM FOR 1 HOUR BEFORE USE. ACCORDING TO THE ACCOUNT, THE "+" INDICATOR ON THE PT SAMPLE APPEARED TO BE GREEN IN COLOR AND THE ACCOUNT WAS USE TO SEEING THE "+" INDICATOR AS PURPLE, AND INTERPRETTED THE RESULT AS INVALID. REPEAT TESTING OF THE SAMPLE GAVE A NEGATIVE RESULT, WHICH WAS REPORTED.

Description of Event or Problem · 2

ON 4/24/97, THE ACCOUNT REPORTED A DISCREPANT RESULT FOR THE TESTPACK RSV ASSAY. THE PT WAS ORIGINALLY TESTED ON 3/31/97 AT THIS HOSPITAL WITH TESTPACK RSV KIT, LOT 24269M100, EXPIRATION DATE 10/30/97, AND A POSITIVE RESULT WAS REPORTED. AT THAT TIME, THE PHYSICIAN DECIDED NOT TO TREAT THE PT BASED ON CLINICAL SYMPTOMS. THE PT WAS READMITTED ON 4/27/97 WHEN THE NEGATIVE RESULTS WERE RECEIVED FROM A NASOPHARYNGEAL WAS COLLECTED THAT DAY. THE PHYSICIAN FELT THE PT SHOULD STILL BE POSITIVE, AS HE HAD NOT PREVIOUSLY RECEIVED TREATMENT FOR RSV. THE PT HAS BEEN DISCHARGED FROM THE HOSPITAL. NO REPORT OF INJURY. A POSITIVE RESULT WAS RECEIVED WHEN THE SAMPLE WAS FIRST TESTED. THE SAMPLE WAS RECEIVED IN A SALINE TRANSPORT MEDIA. SALINE, USED AS A NEGATIVE CONTROL, PERFORMED AS EXPECTED. ACCORDING TO THE ACCOUNT, THE "+" INDICATOR ON THE PT SAMPLE APPEARED TO BE GREEN IN COLOR INSTEAD OF PURPLE, WHICH THE ACCOUNT WAS USE TO SEEING, AND INTERPRETTED THE RESULT AS INVALID. REPEAT TESTING OF THE SAMPLE GAVE A NEGATIVE RESULT, WHICH WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ABBOTT TESTPACK RSV EIA FOR THE RAPID DETECTION OF RSV GQG ABBOTT LABORATORIES NA 24375M400

Patients

Seq Age Sex Outcome Treatment
1 1 MO Other
2 5 MO Other