FDA Adverse Event
Malfunction
Summary report: N
COBAS® 4800 BRAF V600 MUTATION TEST
MDR report key: 19392302
·
Received May 24, 2024
Report
- Report Number
- 2243471-2024-01551
- Event Type
- Malfunction
- Date Received
- May 24, 2024
- Date of Event
- April 26, 2024
- Report Date
- June 17, 2024
- Manufacturer
- ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG
- Product Code
- OWD
- PMA / PMN Number
- P110020
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. BASED ON THE INFORMATION PROVIDED, THE DIFFERENCES BETWEEN THE TECHNOLOGIES LIKELY CONTRIBUTED TO THE OBSERVED DISCREPANCY.
Additional Manufacturer Narrative · 0
THE SERIAL NUMBER OF THE COBAS Z 480 INSTRUMENT WAS REQUESTED BUT NOT PROVIDED. INVESTIGATION IS ONGOING.
Description of Event or Problem · 0
THERE WAS AN ALLEGATION OF A QUESTIONABLE RESULT FOR ONE PATIENT SAMPLE TESTED ON THE COBAS® 4800 BRAF V600 MUTATION TEST. THE ALLEGED SAMPLE INITIALLY GENERATED A POSITIVE RESULT WHEN TESTED WITH A LAB DEVELOPED TEST, A DIAGNOSTIC TEST CALLED MEBGEN RASKET B-KIT, MARKETED BY A COMPETITOR, MEDICAL AND BIOLOGICAL LABORATORIES INC. THE SAME SAMPLE WAS THEN TESTED ON THE COBAS Z480 INSTRUMENT GENERATING A NEGATIVE RESULT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2320452 | COBAS® 4800 BRAF V600 MUTATION TEST | SOMATIC GENE MUTATION DETECTION SYSTEM | OWD | ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG | J12854 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |