FDA Adverse Event Malfunction Summary report: N

VERIGENE PROCESSOR SP

MDR report key: 14311544 · Received May 6, 2022

Report

Report Number
1650733-2022-00021
Event Type
Malfunction
Date Received
May 6, 2022
Date of Event
January 20, 2022
Report Date
May 5, 2022
Manufacturer
LUMINEX CORPORATION
Product Code
NSU
UDI-DI
00840487101483
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

IN REVIEW OF ALL ASSOCIATED CUSTOMER-PROVIDED DOCUMENTATION AND INTERNALLY GENERATED INVESTIGATION NOTES AGAINST THE CRITERIA SET FORTH IN DOCUMENT (B)(4) (MEDICAL DEVICE REPORTING STANDARDS OPERATING PROCEDURE), THIS COMPLAINT DOES MEET THE REQUIREMENTS FOR AN MDR IN THE COUNTRIES WHERE THIS PRODUCT IS SOLD OR DISTRIBUTED. FILING INDIVIDUAL MDR OUT OF ABUNDANCE OF CAUTION DUE TO THE REMOTE POSSIBILITY OF A FALSE RESULT CONTRIBUTING TO A DEATH OR SERIOUS INJURY.

Description of Event or Problem · 0

THE SERVICE VISIT AT KATHERINE (B)(6) HOSPITAL. WAS SCHEDULED PER CAPA-21-014 WITHIN WORK ORDER WO-00199948. DURING THE SITE VISIT, THE ELUTION HEATER REQUIRED RECALIBRATION DUE TO FAILING INITIAL VERIFICATION AT SETPOINTS 1 AND 2. FIELD QUALITY UPDATED RISK ASSESSMENT QUESTION 2 TO 'YES' SINCE THE SETPOINT TEMPERATURES FAILED OUTSIDE THE ACCEPTED LIMITS ESTABLISHED BY THE VERIGENE I ASSAY TEMPERATURE TOLERANCE GUARD BAND RISK REPORT ((B)(4)). PER THE VERIGENE ASSAY TEMPERATURE TOLERANCE (GUARD-BAND) STUDY REPORT ((B)(4)), THE STUDY EVALUATED THE ASSAY PERFORMANCE OF VERIGENE® RP FLEX, EP, CDF, BC-GP AND BC-GN ASSAYS AT VARYING CRITICAL TEMPERATURE PARAMETERS AND ESTABLISHED A FUNCTIONAL RANGE OF TEMPERATURE FOR ASSAY TOLERANCE ABOVE AND BELOW THE NOMINAL SET POINTS. IT WAS DETERMINED WITHIN (B)(4), THAT THE ELUTION HEATER HAS A LOWER TOLERANCE OF -4DEGREE CELSIUS AND AN UPPER TOLERANCE OF GREATER THAN OR EQUAL TO 5DEGREE FROM THE SETPOINT TEMPERATURE 1 (75.0C) AND SETPOINT 2 (85.0C). IN REVIEWING THE ATTACHED NAPLOGS, SETPOINT 1 FOR THE ELUTION HEATER HAD AN ADJUSTED TEMPERATURE OF +86.1C AND SETPOINT 2 HAD AN ADJUSTED TEMPERATURE OF +97.9C; BOTH HIGHER THAN THE ACCEPTABLE RANGE PER (B)(4). DUE THE FINDING, RISK ASSESSMENT QUESTION 2 WAS UPDATED TO 'YES'. THE CUSTOMER SITE IS CURRENTLY RUNNING BC-GP, BC-GN, AND EP VERIGENE ASSAYS. THE ELUTION HEATER VERIFICATION FAILURE CAN POTENTIALLY IMPACT ASSAY PERFORMANCE FOR ALL THREE ASSAYS RAN AT THE CUSTOMER SITE PER (B)(4). WITHIN AN 18-MONTH TIMEFRAME FROM THE VERIFICATION FAILURE, THE CUSTOMER SITE HAS NOT REPORTED ANY PATIENT SAMPLE FALSE RESULTS ON EITHER ASSAY. THE CUSTOMER SITE REPORTED NO FALSE RESULTS FOR THE SP PROCESSOR S/N (B)(4). THERE IS NO INDICATION OF THIS VERIFICATION FAILURE RESULTING IN AN ADVERSE EFFECT TO PATIENT RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
889467 VERIGENE PROCESSOR SP VERIGENE PROCESSOR SP NSU LUMINEX CORPORATION 10-0000-07 18128002 00840487101483

Patients

Seq Age Sex Outcome Treatment
1 Unknown