FDA Adverse Event Malfunction Summary report: N

CEPHEID XPERT XPRESS SARS-COV-2/FLU/RSV

MDR report key: 12824638 · Received November 16, 2021

Report

Report Number
3004530258-2021-00424
Event Type
Malfunction
Date Received
November 16, 2021
Date of Event
October 28, 2021
Report Date
November 15, 2021
Manufacturer
CEPHEID
Product Code
QJR
PMA / PMN Number
EUA200453
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

US CUSTOMER CONTACTED CEPHEID TO DISCUSS PATIENT RESULTS FOR XPERT XPRESS SARS-COV-2/FLU/RSV. CUSTOMER COLLECTED SAMPLE 1 FROM PATIENT-1 ON (B)(6) 2021, WHICH WAS TESTED ON XPERT XPRESS SARS COV-2/FLU/RSV AND RESULTED AS SARS-COV-2 POSITIVE, FLU A POSITIVE, FLU B NEGATIVE, RSV POSITIVE (REPORTED TO THE PHYSICIAN). SAMPLE 1 REPEAT-1 OCCURRED ON (B)(6) 2021 AND TESTED ON XPERT XPRESS SARS COV-2/FLU/RSV, WHICH RESULTED IN SARS-COV-2 NEGATIVE, FLU A NEGATIVE, FLU B NEGATIVE, RSV NEGATIVE (REPORTED TO THE PHYSICIAN). THE ROOT CAUSE WAS DETERMINED TO BE CONTAMINATION AND/OR CARRYOVER. THERE IS NO EVIDENCE OF PRODUCT MALFUNCTION AND THERE WAS NO REPORTED HARM. FALSE POSITIVE RESULTS FOR SARS-COV-2 COULD LEAD TO INCORRECT MANAGEMENT OF SYMPTOMATIC PATIENTS, INCLUDING UNNECESSARY ISOLATION OR QUARANTINE, MISALLOCATION OF RESOURCES, DELAYED DIAGNOSIS AND TREATMENT FOR OTHER INFECTIONS OR HEALTH CONDITIONS, OR UNNECESSARY ANTIVIRAL TREATMENT. CEPHEID'S PATIENT SAFETY BOARD CONSULT CONFIRMED WITH THE CUSTOMER THAT THERE WAS NO ASSOCIATED PATIENT HARM OR CHANGE TO PATIENT TREATMENT. RESULTS ARE FOR THE IDENTIFICATION OF SARS-COV-2 RNA. AS OF XPERT XPRESS SARS-COV-2/FLU/RSV EUA IFU; POSITIVE RESULTS ARE INDICATIVE OF THE PRESENCE OF SARS-COV-2; CLINICAL CORRELATION WITH PATIENT HISTORY AND OTHER DIAGNOSTIC INFORMATION IS NECESSARY TO DETERMINE PATIENT INFECTION STATUS. DEVICE EVALUATED BY MANUFACTURER - ANSWER OF NO IS DUE TO THE SINGLE USE OF THE XPERT XPRESS SARS-COV-2/FLU/RSV AND THE UNAVAILABILITY OF THAT PRODUCT LOT TO BE RETURNED TO CEPHEID.

Additional Manufacturer Narrative · 0

US CUSTOMER CONTACTED CEPHEID TO DISCUSS PATIENT RESULTS FOR XPERT XPRESS SARS-COV-2/FLU/RSV. CUSTOMER COLLECTED SAMPLE 1 FROM PATIENT-1 ON (B)(6) 2021, WHICH WAS TESTED ON XPERT XPRESS SARS COV-2/FLU/RSV AND RESULTED AS SARS-COV-2 POSITIVE, FLU A POSITIVE, FLU B NEGATIVE, RSV POSITIVE (REPORTED TO THE PHYSICIAN). SAMPLE 1 REPEAT-1 OCCURRED ON (B)(6) 2021 AND TESTED ON XPERT XPRESS SARS COV-2/FLU/RSV, WHICH RESULTED IN SARS-COV-2 NEGATIVE, FLU A NEGATIVE, FLU B NEGATIVE, RSV NEGATIVE (REPORTED TO THE PHYSICIAN). THE ROOT CAUSE WAS DETERMINED TO BE CONTAMINATION AND/OR CARRYOVER. THERE IS NO EVIDENCE OF PRODUCT MALFUNCTION AND THERE WAS NO REPORTED HARM. FALSE POSITIVE RESULTS FOR SARS-COV-2 COULD LEAD TO INCORRECT MANAGEMENT OF SYMPTOMATIC PATIENTS, INCLUDING UNNECESSARY ISOLATION OR QUARANTINE, MISALLOCATION OF RESOURCES, DELAYED DIAGNOSIS AND TREATMENT FOR OTHER INFECTIONS OR HEALTH CONDITIONS, OR UNNECESSARY ANTIVIRAL TREATMENT. CEPHEID'S PATIENT SAFETY BOARD CONSULT CONFIRMED WITH THE CUSTOMER THAT THERE WAS NO ASSOCIATED PATIENT HARM OR CHANGE TO PATIENT TREATMENT. RESULTS ARE FOR THE IDENTIFICATION OF SARS-COV-2 RNA. AS OF XPERT XPRESS SARS-COV-2/FLU/RSV EUA IFU; POSITIVE RESULTS ARE INDICATIVE OF THE PRESENCE OF SARS-COV-2; CLINICAL CORRELATION WITH PATIENT HISTORY AND OTHER DIAGNOSTIC INFORMATION IS NECESSARY TO DETERMINE PATIENT INFECTION STATUS. DEVICE EVALUATED BY MANUFACTURER - ANSWER OF NO IS DUE TO THE SINGLE USE OF THE XPERT XPRESS SARS-COV-2/FLU/RSV AND THE UNAVAILABILITY OF THAT PRODUCT LOT TO BE RETURNED TO CEPHEID.

Description of Event or Problem · 0

US CUSTOMER CONTACTED CEPHEID TO DISCUSS PATIENT RESULTS FOR XPERT XPRESS SARS-COV-2/FLU/RSV. CUSTOMER COLLECTED SAMPLE 1 FROM PATIENT-1 ON (B)(6) 2021, WHICH WAS TESTED ON XPERT XPRESS SARS COV-2/FLU/RSV AND RESULTED AS SARS-COV-2 POSITIVE, FLU A POSITIVE, FLU B NEGATIVE, RSV POSITIVE (REPORTED TO THE PHYSICIAN). SAMPLE 1 REPEAT-1 OCCURRED ON (B)(6) 2021 AND TESTED ON XPERT XPRESS SARS COV-2/FLU/RSV, WHICH RESULTED IN SARS-COV-2 NEGATIVE, FLU A NEGATIVE, FLU B NEGATIVE, RSV NEGATIVE (REPORTED TO THE PHYSICIAN). REVIEW OF DATA PROVIDED BY THE CUSTOMER SHOWED NO EVIDENCE OF PRODUCT MALFUNCTION AND THERE WAS NO KNOWN HARM TO PATIENT.

Description of Event or Problem · 0

US CUSTOMER CONTACTED CEPHEID TO DISCUSS PATIENT RESULTS FOR XPERT XPRESS SARS-COV-2/FLU/RSV. CUSTOMER COLLECTED SAMPLE 1 FROM PATIENT-1 ON (B)(6) 2021, WHICH WAS TESTED ON XPERT XPRESS SARS COV-2/FLU/RSV AND RESULTED AS SARS-COV-2 POSITIVE, FLU A POSITIVE, FLU B NEGATIVE, RSV POSITIVE (REPORTED TO THE PHYSICIAN). SAMPLE 1 REPEAT-1 OCCURRED ON (B)(6) 2021 AND TESTED ON XPERT XPRESS SARS COV-2/FLU/RSV, WHICH RESULTED IN SARS-COV-2 NEGATIVE, FLU A NEGATIVE, FLU B NEGATIVE, RSV NEGATIVE (REPORTED TO THE PHYSICIAN). REVIEW OF DATA PROVIDED BY THE CUSTOMER SHOWED NO EVIDENCE OF PRODUCT MALFUNCTION AND THERE WAS NO KNOWN HARM TO PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1717345 CEPHEID XPERT XPRESS SARS-COV-2/FLU/RSV COVID-19 RT-PCR TEST QJR CEPHEID 1000316077

Patients

Seq Age Sex Outcome Treatment
1 Unknown