FDA Adverse Event Malfunction Summary report: N

APTIMA HPV ASSAY

MDR report key: 13115392 · Received December 29, 2021

Report

Report Number
2024800-2021-00083
Event Type
Malfunction
Date Received
December 29, 2021
Date of Event
December 2, 2021
Report Date
December 29, 2021
Manufacturer
HOLOGIC INCORPORATED
Product Code
OYB
UDI-DI
15420045500051
PMA / PMN Number
P100042
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HOLOGIC REQUESTED THE LOGS FROM THE CUSTOMER TO REVIEW. DUE TO THE INJECTION DELAY, THE CUSTOMER OBTAINED SEVERAL INVALID SAMPLES. IN ADDITION, THERE WAS A POTENTIAL FOR INCORRECT RESULTS WITH THE APTIMA HPV ASSAY. THERE IS NO INDICATION THAT THE ASSAY KITS WERE NOT PERFORMING AS EXPECTED. THE CUSTOMER WAS ADVISED BY HOLOGIC AND CUSTOMER RETESTED VALID POSITIVE SAMPLES AS POTENTIAL FALSE RESULTS WERE REPORTED OUT. IT'S NOT KNOWN IF TREATMENT WAS PROVIDED. HOLOGIC FIELD SERVICE ENGINEER (FSE) WENT TO THE CUSTOMER SITE, CONFIRMED THE ERRORS AND FOUND THAT THERE WERE FLUID BOTTLES NOT BE FULLY SEATED IN THE INSTRUMENT'S LOWER BAY, LIKELY INTRODUCING AIR TO THE SYSTEM AND CAUSING INJECTION ISSUES. FSE PROPERLY SEATED THE FLUID BOTTLES TO RESOLVE THE ISSUE. FSE EXPLAINED TO THE CUSTOMER THAT THE QUESTIONABLE TUBES RECEIVED ONLY AIR WHICH IS WHY THEY WERE INVALID.

Description of Event or Problem · 0

ON (B)(6) 2021, A CUSTOMER FROM (B)(6) CALLED HOLOGIC TECHNICAL SUPPORT (TS) TO REPORT THAT THEY HAD SEVERAL INVALID RESULTS ON THE TIGRIS INSTRUMENT (SN (B)(4)) DUE TO P AND R FLAGS WHEN USING THE APTIMA HPV ASSAY MASTER LOT 307923. TS AND PRODUCT APPLICATION SPECIALISTS (PAS) REVIEWED THE KINETIC PROFILE AND OBSERVED THAT THE INVALID RESULTS MAY HAVE BEN CAUSED BY AUTO DETECT (AD) DELAY IN INJECTION. THE CUSTOMER INDICATED THAT ALL VALID RESULTS FROM THESE WORKLIST WERE REPORTED OUT. THE CUSTOMER WAS NOTIFIED BY HOLOGIC THAT POSITIVE RESULTS FROM THE FIRST TUBE MAY HAVE BEEN IMPACTED. THE CUSTOMER INDICATED THAT THEY RETESTED ANY POSITIVE SAMPLES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2012987 APTIMA HPV ASSAY IN-VITRO DIAGNOSTIC OYB HOLOGIC INCORPORATED HPV Screening (250 Tests) - TIGRIS 307923 15420045500051

Patients

Seq Age Sex Outcome Treatment
1 Unknown