FDA Adverse Event Malfunction Summary report: N

VERIGENE PROCESSOR SP

MDR report key: 14700333 · Received June 15, 2022

Report

Report Number
1650733-2022-00039
Event Type
Malfunction
Date Received
June 15, 2022
Date of Event
May 26, 2022
Report Date
June 14, 2022
Manufacturer
LUMINEX CORPORATION
Product Code
NSU
UDI-DI
00840487101483
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

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 (B)(6) MEDICAL CENTER WAS SCHEDULED PER CAPA (B)(4) WITHIN WORK ORDER (B)(4). DURING THE SITE VISIT, THE HYBRIDIZATION (HYB) HEATER REQUIRED RECALIBRATION DUE TO FAILING INITIAL VERIFICATION AT SETPOINT 2. FIELD QUALITY UPDATED RISK ASSESSMENT QUESTION 2 TO 'YES' SINCE THE SETPOINT TEMPERATURE FAILED OUTSIDE THE ACCEPTED LIMITS ESTABLISHED BY THE VERIGENE I ASSAY TEMPERATURE TOLERANCE GUARD BAND RISK REPORT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
608883 VERIGENE PROCESSOR SP VERIGENE PROCESSOR SP NSU LUMINEX CORPORATION 10-0000-07 00840487101483

Patients

Seq Age Sex Outcome Treatment
1 Unknown