FDA Adverse Event Malfunction Summary report: N

COBAS TAQSCREEN MPX TEST V2

MDR report key: 12747023 · Received November 3, 2021

Report

Report Number
2243471-2021-03629
Event Type
Malfunction
Date Received
November 3, 2021
Date of Event
October 7, 2021
Report Date
January 12, 2022
Manufacturer
ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG
Product Code
QHO
UDI-DI
00875197004045
PMA / PMN Number
BL125459
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TC
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

NO ISSUES WERE IDENTIFIED WITH THE COMPLAINT KIT LOT DURING THE COURSE OF THE INVESTIGATION. THE SAMPLE IN QUESTION WAS SENT TO ROCHE FOR FURTHER ANALYSIS. THE SAMPLE WAS TESTED IN TRIPLICATE USING A QUANTITATIVE ROCHE TEST (COBAS HBV ASSAY). ONE OUT OF 3 REPLICATES GENERATED A <TITERMIN RESULT, WHILE THE OTHER 2 REPLICATES GENERATED TARGET NOT DETECTED RESULTS. BASED ON THE TESTING RESULTS AND ALL OF THE INFORMATION AVAILABLE IN THE CASE, IT IS LIKELY THAT THE SAMPLE CONTAINS A LOW CONCENTRATION OF HBV, WHICH IS NOT CONSISTENTLY DETECTED WITH THE COBAS TAQSCREEN MPX TEST V2.0. (B)(4).

Additional Manufacturer Narrative · 0

THE INVESTIGATION IS ON-GOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION. (B)(4).

Description of Event or Problem · 0

A CUSTOMER IN THE (B)(6) ALLEGED THE GENERATION OF DISCREPANT (B)(6) RESULTS WITH THE COBAS TAQSCREEN MPX TEST, V2.0 FOR A PATIENT WHO GENERATED (B)(6) RESULTS ((B)(6)). THE PATIENT WAS BEING SCREENING FOR (B)(6) AS A NEWLY ARRIVED EXPAT. NO DONATION WAS INVOLVED AND NO HARM WAS ALLEGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1641852 COBAS TAQSCREEN MPX TEST V2 HUMAN IMMUNODEFICIENCY VIRUS TYPE 1 (HIV-1) GROUP M AND O RNA, HIV-2 RNA, HCV QHO ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG NA H06830 00875197004045

Patients

Seq Age Sex Outcome Treatment
1 Unknown