FDA Adverse Event Malfunction Summary report: N

COBAS® SARS-COV-2 & INFLUENZA A/B

MDR report key: 14187761 · Received April 22, 2022

Report

Report Number
2243471-2022-00431
Event Type
Malfunction
Date Received
April 22, 2022
Date of Event
March 18, 2022
Report Date
May 31, 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

AN INVESTIGATION IS IN PROGRESS TO INVESTIGATE THE CUSTOMER ISSUE. A SUPPLEMENTAL REPORT WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETED. (B)(4).

Additional Manufacturer Narrative · 0

THIS IS A FOLLOW-UP REPORT TO PROVIDE THE CASE CONCLUSION FOR 2243471-2022-00431. DATA FROM THE SD CARD EXTRACTED FROM THE LIAT SN (B)(6) WAS PROVIDED. DUE TO THE DATA BEING EXTRACTED FROM THE SD CARD, THE SAMPLE IDS WERE NOT PROVIDED, AND THEREFORE, THE ALLEGED RUNS COULD NOT BE IDENTIFIED. A HOLISTIC REVIEW OF THE DATASET WAS PERFORMED WHERE NO PRODUCT PROBLEM WAS IDENTIFIED. NOTE THAT EACH OF THE POSITIVE RUNS, EXCLUDING THE ONE PERFORMED ON THE BD MAX, GENERATED DELAYED CT VALUES INDICATING A LOW VIRAL PRESENCE IN THE SAMPLE. SAMPLES NEAR THE LOD MAY GENERATE WAVERING RESULTS UPON RETEST. IN REGARDS TO THE SAMPLE TESTED ON THE BD MAX, IT IS POSSIBLE THE DISCREPANCY OCCURRED DUE TO DIFFERENCES IN DETECTION TECHNOLOGIES BETWEEN THE LIAT AND THE BD MAX. NO PRODUCT PROBLEM RELATED TO THE CUSTOMER ALLEGATION WAS IDENTIFIED. ----------- CN- (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. A CUSTOMER FROM THE US ALLEGED DISCREPANT RESULTS FOR THREE PATIENT SAMPLES WHILE USING THE COBAS® SARS-COV-2 & INFLUENZA A/B NUCLEIC ACID TEST ON THE COBAS® LIAT® SYSTEM. AS PART OF VALIDATION, THE CUSTOMER TESTED 3 KNOWN SARS-COV-2 POSITIVE SAMPLES. SAMPLE 1 INITIALLY GENERATED A POSITIVE RESULT FOR SARS-COV-2 ON TWO SEPARATE COBAS LIAT ANALYZERS. THE SAMPLE WAS TESTED A THIRD TIME ON A THIRD COBAS LIAT ANALYZER (S/N 12426) AND GENERATED A NEGATIVE RESULT FOR SARS-COV-2. SAMPLE 2 INITIALLY GENERATED A NEGATIVE RESULT FOR SARS-COV-2 ON COBAS LIAT ANALYZER (S/N 12426). THE SAMPLE WAS RETESTED A DIFFERENT COBAS LIAT ANALYZER (S/N (B)(4) AND GENERATED A POSITIVE RESULT FOR SARS-COV-2. SAMPLE 3 INITIALLY GENERATED A POSITIVE RESULT FOR SARS-COV-2 ON A DIFFERENT PLATFORM (BD MAX). THE SAMPLE WAS RETESTED ON A COBAS LIAT ANALYZER (S/N (B)(4) AND GENERATED A NEGATIVE RESULT FOR SARS-COV-2. NO HARM WAS ALLEGED. AN INVESTIGATION IS ONGOING TO EVALUATE THE CUSTOMER ISSUE. PER FDA¿S EUA GUIDANCE, 3 MDRS WILL BE FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
742585 COBAS® SARS-COV-2 & INFLUENZA A/B COVID-19 MULTI-ANALYTE RESPIRATORY PANEL NUCLEIC ACID DEVICES QLT ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG NA NI

Patients

Seq Age Sex Outcome Treatment
1 Unknown