FDA Adverse Event Malfunction Summary report: N

COBAS® LIAT® SARS-COV-2 & INFLUENZA A/B

MDR report key: 12916770 · Received December 2, 2021

Report

Report Number
2243471-2021-03797
Event Type
Malfunction
Date Received
December 2, 2021
Date of Event
November 3, 2021
Report Date
January 10, 2022
Manufacturer
ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG
Product Code
QLT
PMA / PMN Number
EUA201779
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION IS ONGOING. A FOLLOW-UP REPORT WILL BE FILED UPON THE COMPLETION OF THE INVESTIGATION. CN-(B)(4).

Additional Manufacturer Narrative · 0

NO PRODUCT PROBLEM RELATED TO THE CUSTOMER ALLEGATION WAS IDENTIFIED. NO PCR CURVE ABNORMALITIES ARE SEEN WITH EITHER OF THE TWO POSITIVE RUNS; BOTH RUNS APPEAR TO HAVE TRUE TARGET AMPLIFICATION IN THE SARS-COV-2 CHANNEL. THIS IS CONSISTENT WITH A LOW TITER SAMPLES, NEAR THE LIMIT OF DETECTION (LOD) FOR THE TEST. NEAR LOD, SAMPLE RESULTS CAN BE EXPECTED TO WAIVER UPON RETEST. (B)(4).

Description of Event or Problem · 0

IN LIGHT OF THE COVID-19 PANDEMIC AND THE SUBSEQUENT EMERGENCY USE AUTHORIZATIONS (EUAS) FOR SARS-COV-2 DIAGNOSTIC TESTS, THE AGENCY HAS REQUESTED HEIGHTENED REPORTING BEYOND THE REASONABLY SUGGESTS REQUIREMENTS OF 803 TO INCLUDE ALLEGATIONS OF FALSE POSITIVE OR FALSE NEGATIVE RESULTS INDEPENDENT OF HARM OR MALFUNCTION OR OFF-LABEL USE. PURSUANT TO THE AGENCY¿S INSTRUCTION, WE HEREBY SUBMIT THIS MDR. THE CUSTOMER ALLEGED DISCREPANT RESULTS GENERATED FOR THE COBAS® SARS-COV-2 & INFLUENZA A/B (SCFA) ASSAY. A CUSTOMER FROM THE UNITED STATES ALLEGED THAT THEY RECEIVED POTENTIAL FALSE POSITIVE RESULTS FOR PATIENTS¿ SAMPLES TESTED WITH THE COBAS® SARS-COV-2 & INFLUENZA A/B (SCFA) ASSAY. THE CUSTOMER REPORTED THAT ON NOVEMBER 01, 2021 DURING RUN # 3570 A PATIENT¿S SAMPLE TESTED WITH KIT LOT # 01214U GENERATED A SARS-COV-2 POSITIVE, INFLUENZA A NEGATIVE, INFLUENZA B NEGATIVE RESULT WHEN ANALYZED ON COBAS® LIAT® SYSTEM (S/N (B)(4)). ON (B)(6) 2021 DURING RUN # 2951 A 2ND PATIENT¿S SAMPLE TESTED WITH KIT LOT # 01215T GENERATED SARS-COV-2 POSITIVE, INFLUENZA A NEGATIVE, INFLUENZA B NEGATIVE RESULTS WHEN ANALYZED ON COBAS® LIAT® SYSTEM (S/N (B)(4)). BOTH PATIENTS¿ SAME SAMPLES WERE REPEATED ON DIFFERENT COBAS® LIAT® SYSTEMS (S/N NOT PROVIDED) THAT GENERATED SARS-COV-2 NEGATIVE, INFLUENZA A NEGATIVE, INFLUENZA B NEGATIVE RESULTS. ON (B)(6) 2021 021 BOTH PATIENTS¿ SAME SAMPLES WERE REPEATED ON A DIFFERENT PLATFORM THE CEPHEID THAT GENERATED SARS-COV-2 NEGATIVE RESULTS FOR EACH PATIENT¿S SAMPLE. PATIENT SAMPLE WAS COLLECTED USING NASOPHARYNGEAL IN BD UNIVERSAL TRANSPORT MEDIA. THE CUSTOMER CONFIRMED THERE WERE NO ALLEGATION OF HARM TO THE PATIENTS. THE RESULTS WERE REPORTED OUT TO THE PATIENTS AND/OR PERSONNEL TREATING THE PATIENTS. THE INVESTIGATION TO ASSESS THE CUSTOMER ALLEGATION HAS NOT YET BEEN COMPLETED. TWO (2) MDRS WILL BE FILED ONE FOR EACH SAMPLE AS PER FDA GUIDANCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1812744 COBAS® LIAT® SARS-COV-2 & INFLUENZA A/B COVID-19 MULTI-ANALYTE RESPIRATORY PANEL NUCLEIC ACID DEVICES QLT ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG NA 01215T

Patients

Seq Age Sex Outcome Treatment
1 Unknown