FDA Adverse Event Malfunction Summary report: N

COBAS® MPX - 480T

MDR report key: 23135908 · Received September 24, 2025

Report

Report Number
2243471-2025-03603
Event Type
Malfunction
Date Received
September 24, 2025
Date of Event
June 17, 2024
Report Date
September 24, 2025
Manufacturer
ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG
Product Code
QHO
PMA / PMN Number
BL125576
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE ANALYSIS WAS PERFORMED ON A COBAS 6800 ANALYZER (SERIAL NUMBER: (B)(6)). THE INVESTIGATION DETERMINED THAT THE COBAS MPX ASSAY PERFORMED WITHIN SPECIFICATIONS. THE POSITIVE CONTROL FOR HBV WAS ROBUST AND EXHIBITED A SIGMOIDAL AMPLIFICATION CURVE, INDICATING PROPER ASSAY FUNCTIONALITY. THE DATA ANALYSIS REVEALED LATE AMPLIFICATION FOR THE RESULTS FROM 03-JUN-2024 AND 17-JUN-2024, WITH CYCLE THRESHOLD (CT) VALUES OF 38.4 AND 36.8, RESPECTIVELY. THESE FINDINGS ARE CONSISTENT WITH THE ASSAY'S LIMIT OF DETECTION (LOD), WHERE REACTIVE AND NON-REACTIVE RESULTS MAY OCCUR AND ARE EXPECTED UNDER CERTAIN CONDITIONS. THE ROOT CAUSE OF THE REPORTED DISCREPANT RESULTS IS MOST LIKELY RELATED TO THE ASSAY'S LOD. IN THE CLINICAL CONTEXT, WITH SEROLOGY CONSISTENTLY REACTIVE, THE DONOR IS LIKELY TO HAVE A CHRONIC HBV INFECTION WITH PERSISTENT HBSAG IN THE BLOOD. A PRODUCT ISSUE WAS NOT IDENTIFIED DURING THE INVESTIGATION.

Description of Event or Problem · 0

THE INITIAL REPORTER ALLEGED DISCREPANT RESULTS FOR HEPATITIS B VIRUS (HBV) TESTING USING THE KIT COBAS 6800/8800 MPX 480T CE-IVD ASSAY ON THE COBAS 6800 INSTRUMENT. THE REPORTED RESULTS FOR HBV NUCLEIC ACID TESTING (NAT) WERE AS FOLLOWS: ON (B)(6) 2022, THE SAMPLE WAS INITIALLY REACTIVE, BUT A REPEAT TEST WAS NON-REACTIVE. ON (B)(6) 2022, (B)(6) 2023, AND (B)(6) 2024, THE RESULTS WERE NON-REACTIVE. ON (B)(6) 2023 AND (B)(6) 2024, THE RESULTS WERE REACTIVE. ON (B)(6) 2024, THE SAMPLE WAS INITIALLY REACTIVE, BUT A REPEAT TEST WAS NON-REACTIVE. SEROLOGY TESTING FOR HBV USING AN ABBOTT ASSAY WAS REACTIVE FOR ALL SAMPLES TESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1643056 COBAS® MPX - 480T ASSAY, HYB AND/OR NUCLEIC ACID AMP FOR DETECTION OF HCV RNA, HIV RNA QHO ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG K10507

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown