FDA Adverse Event Malfunction Summary report: N

COBAS AMPLIPREP/ COBAS TAQMAN 48 WITH AMPLILINK SOFTWARE V 3.2.3

MDR report key: 1640924 · Received March 26, 2010

Report

Report Number
2243471-2010-00010
Event Type
Malfunction
Date Received
March 26, 2010
Date of Event
March 22, 2010
Report Date
June 16, 2010
Manufacturer
ROCHE MOLECULAR SYSTEMS, INC.
Product Code
JJF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ISSUE IS UNDER EVALUATION. NO CONCLUSIONS CAN BE DRAWN AT THIS TIME.

Description of Event or Problem · 1

A CUSTOMER IN (B)(6) OBTAINED A FAILED RESULT FOR A NEGATIVE CONTROL WITH THE KIT CAP-G CTM HIV 48 TESTS EXPT-IVD USING COBAS AMPLIPREP / COBAS TAQMAN 48 ANALYZER WITH AMPLILINK SOFTWARE V. 3.2.3. THE CUSTOMER REMOVED THE RACK BEFORE THE NEGATIVE CONTROL WAS PROCESSED, WHICH CAUSED THE FAILURE. THE NEGATIVE CONTROL RESULT WAS "FAILED" AND FLAGGED WITH DISP_ERROR. AS CONFIGURED, THE AMPLILINK SOFTWARE WAS EXPECTED TO INVALIDATE ALL PATIENT SAMPLES IN THE RUN BATCH IF A CONTROL HAD A RESULT OF EITHER "FAILED" OR "INVALID." THE TEST RUN SHOULD HAVE BEEN INVALIDATED, AS THE SOFTWARE WAS CONFIGURED TO REQUIRE THAT ALL THREE CONTROLS (NEGATIVE CONTROL, LOW POSITIVE CONTROL AND HIGH POSITIVE CONTROL) MUST ALL BE VALID FOR THE RUN TO BE CONSIDERED VALID. HOWEVER, THE CUSTOMER REPORTED THAT THE FAILED NEGATIVE CONTROL DID NOT INVALIDATE THE PATIENT RESULTS. THE CUSTOMER WAS PERFORMING AN EVALUATION STUDY FOR THE CAP-CTM 48 SYSTEM. NO RESULTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COBAS AMPLIPREP/ COBAS TAQMAN 48 WITH AMPLILINK SOFTWARE V 3.2.3 ANALYZER, CHEMISTRY, MICRO, FOR CLINICAL USE JJF ROCHE MOLECULAR SYSTEMS, INC.

Patients

Seq Age Sex Outcome Treatment
1