PANTHER FUSION ADV/HMPV/RV ASSAY
Report
- Report Number
- 2024800-2023-00006
- Event Type
- Injury
- Date Received
- February 3, 2023
- Date of Event
- September 17, 2019
- Report Date
- February 3, 2023
- Manufacturer
- HOLOGIC, INC.
- Product Code
- OEM
- UDI-DI
- 15420045509290
- PMA / PMN Number
- K172629
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- 003
Narratives
OTHER.
HOLOGIC BECAME AWARE OF A POTENTIAL FALSE POSITIVE HMPV RESULT SUBMITTED TO THE FDA (MDR REPORT KEY (B)(4). THE INCIDENT OCCURRED ON (B)(6) 2019, BUT HOLOGIC BECAME AWARE OF THE INCIDENT ON 01/05/2023. A PATIENT WAS TESTED FOR HUMAN METAPNEUMOVIRUS (HMPV) AND RHINOVIRUS (RV) USING THE PANTHER FUSION ADV/HMPV/RV ASSAY LOT: 247667. THE SAMPLE WAS RV-POSITIVE WITH A STRONG PCR SIGNAL AND HMPV-POSITIVE WITH A WEAK PCR SIGNAL. WHEN RETESTED, THE SAMPLE TEST RESULTS WERE STILL RV- AND HMPV-POSITIVE. THE FOLLOWING WEEK, TWO OTHER PATIENTS TEST POSITIVE FOR BOTH RV AND HMPV WITH THE SAME PCR SIGNAL RESULT, LEADING THE USER TO QUESTION THE INITIAL PATIENT¿S SAMPLE RESULT AS A POTENTIAL FALSE POSITIVE. THE INFORMATION REPORTED IN THE MDR IS INSUFFICIENT TO CHARACTERIZE ANY SAMPLE AS A CONFIRMED FALSE RESULT. HOLOGIC WAS NOT CONTACTED NOR MADE AWARE OF ANY RESULTS REPORTED, ANY AMENDMENTS TO RESULTS, OR ANY TREATMENT PROVIDED. USER CONTACTED THE VENDOR, WHO STATED THEY UNDERSTOOD THE CAUSE OF THIS ISSUE AND DID NOT ISSUE GUIDANCE TO CUSTOMERS. A PREVIOUS EVENT SEARCH PERFORMED ON (B)(6) 2023 FOUND NO SIMILAR COMPLAINTS ASSOCIATED WITH LN: 247667 SINCE ON (B)(6) 2019; THE ISSUE WITH ASSAY LOT: 247667 APPEARED TO BE AN ISOLATED EVENT. NO FURTHER ISSUES WERE REPORTED. TREATMENT OF ADENOVIRUS, HMPV, AND RV IS SUPPORTIVE; THERE ARE NO FDA-APPROVED ANTIVIRALS TO IMPROVE THE DISEASE COURSE. THESE INFECTIONS ARE USUALLY MILD, OFTEN WITH SYMPTOMS OF THE COMMON COLD, AND DO NOT REQUIRE MEDICAL CARE (1, 2). A FALSE POSITIVE WOULD NOT BE ANTICIPATED TO HAVE SIGNIFICANT IMPACT ON PATIENT CARE, OTHER THAN THE POSSIBILITY OF DELAY IN DIAGNOSIS FOR A TREATABLE CAUSE OF THE PATIENT¿S SYMPTOMS IF PRESENT. 1. ADENOVIRUSES: PREVENTION AND TREATMENT. CENTERS FOR DISEASE CONTROL AND PREVENTION. LAST UPDATED AUGUST 28, 2019. HTTPS://WWW.CDC.GOV/ADENOVIRUS/HCP/PREVENTION-TREATMENT.HTML. 2. HUMAN METAPNEUMOVIRUS (HMPV) CLINICAL FEATURES. CENTERS FOR DISEASE CONTROL AND PREVENTION. LAST UPDATED SEPTEMBER 5, 2019. HTTPS://WWW.CDC.GOV/SURVEILLANCE/NREVSS/HMPV/CLINICAL.HTML. THE OVERALL RISK IS CONSIDERED BROADLY ACCEPTABLE, AND THE PROBABILITY OF OCCURRENCE OF HARM IS CONSIDERED REMOTE. IN THIS COMPLAINT, THE HMPV POSITIVE RESULTS ARE PRIMARILY OCCURRING WHEN THE SAMPLE HAS A RV-POSITIVE RESULT. IF A PATIENT PRESENTED SYMPTOMS ASSOCIATED WITH A RESPIRATORY INFECTION, THE PATIENT MAY BE GIVEN MEDICINES TO MANAGE THEIR SYMPTOMS, REGARDLESS OF THE PATIENT'S HMPV, ADV AND/OR RV RESULTS. THUS, A PATIENT WOULD NOT BE IMPACTED IF THEY OBTAINED A POSITIVE RESULT FOR RV, IN ADDITION TO A POTENTIAL FALSE POSITIVE RESULT FOR HMPV. THE PANTHER FUSION AMR PACKAGE INSERT WARNS CUSTOMERS OF POTENTIAL FALSE POSITIVE HMPV OR ADV RESULTS IN SAMPLES CONTAINING HIGH RV CONTENT IN THE LIMITATIONS SECTION. THE MDR REPORT SUBMITTED BY THE CUSTOMER IS CONSISTENT WITH THE ABOVE. THERE IS NO POTENTIAL FOR ADVERSE EVENT DUE TO THE ISSUE. HOLOGIC IS ONLY REPORTING THE ISSUE THROUGH THE MDR PROCESS BECAUSE THE CUSTOMER REPORTED IT TO FDA (MDR REPORT KEY (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2082146 | PANTHER FUSION ADV/HMPV/RV ASSAY | HUMAN METAPNEUMOVIRUS (HMPV) RNA ASSAY SYSTEM | OEM | HOLOGIC, INC. | AMR KIT, PANTHER FUSION, 96T, IVD | 247667 | 15420045509290 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |