COBAS® MPX - 480T
Report
- Report Number
- 2243471-2025-03783
- Event Type
- Malfunction
- Date Received
- September 26, 2025
- Date of Event
- April 1, 2024
- Report Date
- September 26, 2025
- Manufacturer
- ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG
- Product Code
- QHO
- PMA / PMN Number
- BL125576
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- RI, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE ANALYSIS WAS PERFORMED ON A COBAS 8800 ANALYZER (SERIAL NUMBER: (B)(6). THE INVESTIGATION DETERMINED THAT THE KIT COBAS 58/68/8800 MPX 480T IVD ASSAY WAS PERFORMING WITHIN SPECIFICATIONS. A REVIEW OF THE DATA INDICATED THAT THE REACTIVE HBV RESULT SHOWED A CYCLE THRESHOLD (CT) VALUE OF 37.24 WITH A SLIGHTLY ROBUST, SIGMOIDAL GROWTH CURVE, CONSISTENT WITH TRUE TARGET AMPLIFICATION. THE POSITIVE CONTROL FOR HBV WAS ALSO ROBUST AND SIGMOIDAL, CONFIRMING PROPER ASSAY FUNCTIONALITY. THE NON-REACTIVE RESULT OBTAINED DURING RESOLUTION TESTING WAS ATTRIBUTED TO THE ASSAY'S LIMIT OF DETECTION (LOD). TESTING IN A POOL OF SIX (PP6) DILUTED THE SAMPLE 1:6, POTENTIALLY PUSHING IT BELOW THE LOD, WHICH CAN RESULT IN NON-REACTIVE OUTCOMES. A SYSTEMIC PRODUCT ISSUE WAS NOT IDENTIFIED, AND THE INVESTIGATION CONCLUDED THAT THE OBSERVED RESULTS WERE CONSISTENT WITH THE EXPECTED PERFORMANCE OF THE ASSAY.
THE INITIAL REPORTER ALLEGED A RESULT DISCREPANCY WHEN USING THE KIT COBAS 58/68/8800 MPX 480T IVD ASSAY ON THE COBAS 8800 INSTRUMENT. THE ALLEGATION INVOLVED A SAMPLE TESTED IN A POOL OF 6 (PP6) THAT GENERATED A NON-REACTIVE RESULT FOR HEPATITIS B VIRUS (HBV) ON (B)(6) 2024. SEROLOGY TESTING ON A COMPETITOR'S ASSAY WAS REACTIVE FOR HBV (HBCORE). THE INITIAL PP6 SAMPLE WAS SUBSEQUENTLY TESTED IN RESOLUTION (RESP1) ON (B)(6) 2024, AND A NON-REACTIVE RESULT FOR HBV WAS OBTAINED. THE REACTIVE HBV RESULT FROM THE INITIAL TESTING SHOWED A CYCLE THRESHOLD (CT) VALUE OF 37.24 AND A SLIGHTLY ROBUST, SIGMOIDAL GROWTH CURVE. THE DONATION WAS NOT USED, AND THE RESULTS WERE NOT REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2123635 | COBAS® MPX - 480T | ASSAY, HYB AND/OR NUCLEIC ACID AMP FOR DETECTION OF HCV RNA, HIV RNA | QHO | ROCHE MOLECULAR SYSTEMS, INC. - BRANCHBURG | K16865 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |