BD MAX¿ CTGCTV2 (US)
Report
- Report Number
- 3007420875-2026-00038
- Event Type
- Malfunction
- Date Received
- March 6, 2026
- Date of Event
- February 4, 2026
- Report Date
- April 1, 2026
- Manufacturer
- GENEOHM SCIENCES CANADA, INC. (BD DIAGNOSTICS)
- Product Code
- LSL
- UDI-DI
- 00382904439040
- PMA / PMN Number
- K182692
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
D.2. ADDITIONAL MEDICAL DEVICE TYPES: MKZ, OUY. A DEVICE EVALUATION IS ANTICIPATED BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED.
INVESTIGATION SUMMARY: THE COMPLAINT INVESTIGATION FOR DISCREPANT RESULTS WHEN USING THE BD CTGCTV2 FOR BD MAX¿ SYSTEM KIT (REF. (B)(4)) FROM LOT 5204477 WAS PERFORMED BY THE REVIEW OF MANUFACTURING RECORDS, RETAIN MATERIAL TESTING, REVIEW OF CUSTOMER¿S DATA AND BY THE COMPLAINT¿S HISTORY REVIEW. THE REVIEW OF QUALITY CONTROL RECORDS OF BD CTGCTV2 FOR BD MAX¿ SYSTEM KIT LOT 5204477 REVEALED NO ANOMALIES THAT COULD EXPLAIN THE CUSTOMER¿S DISCREPANT RESULTS. THE RETAIN MATERIAL OF BD CTGCTV2 FOR BD MAX¿ SYSTEM KIT FROM LOT 5204477 WAS TESTED AND THE RESULTS WERE AS EXPECTED. CUSTOMER COMPLAINED ABOUT DISCREPANT RESULTS FOR CHLAMYDIA TRACHOMATIS (CT) TARGET WITH THE BD CTGCTV2 FOR BD MAX¿ SYSTEM. CUSTOMER PROVIDED A DATABASE ALONG WITH FOUR SINGLE RUNS FOR INVESTIGATION. HOWEVER, THE DATABASE COULD NOT BE ANALYZED BECAUSE IT WAS CORRUPTED. ONLY THE FOUR RUNS (#841, #842, #844, AND #845) FROM THE BD MAX¿ INSTRUMENT (B)(6) WERE AVAILABLE AND COULD BE REVIEWED AS PART OF THE INVESTIGATION. RUNS #842 AND #844 CONTAINED SAMPLES TESTED WITH THE BD CTGCTV2 FOR BD MAX¿ SYSTEM AND ONLY KIT LOT 5204477 WAS USED. REVIEW OF THE SAMPLES TESTED IN THE TWO RUNS DID NOT REVEAL ANY DISCREPANT RESULT FOR THE CT TARGET, DESPITE THIS BEING THE REPORTED ISSUE IN THE COMPLAINT. NEVERTHELESS, DURING REVIEW OF CUSTOMER DATA, IT WAS REVEALED THAT SOME SAMPLES WERE TESTED UP TO FOUR TIMES (WITH EITHER BD CTGCTV2 FOR BD MAX¿ SYSTEM ASSAY OR BD MAX¿ VAGINAL PANEL ASSAY) USING THE SAME SBT. INSTRUCTION FOR USE OF BOTH ASSAYS (P0237 AND P0258) STATE THAT SUFFICIENT VOLUME IS AVAILABLE FOR TWO REPEAT TESTS FROM THE BD MOLECULAR SWAB SAMPLE BUFFER TUBE, RESULTING IN A TOTAL OF THREE BD MAX¿ SYSTEM RUNS. IT IS NOT RECOMMENDED TO TEST ABOVE THE RECOMMENDED INSTRUCTIONS AS THIS IS OFF LABEL USE AND MAY AFFECT ASSAY PERFORMANCE. BASED ON THE AVAILABLE INFORMATION, IT WAS NOT POSSIBLE TO IDENTIFY A CAUSE FOR THE CUSTOMER ISSUE. NONETHELESS, NO REAGENTS ISSUE IS SUSPECTED. THERE IS NO INDICATION OF A REAGENT ISSUE BASED ON THE ANALYSIS OF THE COMPLAINTS RECEIVED FOR DISCREPANT RESULTS ON THE BD CTGCTV2 FOR BD MAX¿ SYSTEM KIT LOT 5204477. THE ROOT CAUSE WAS NOT IDENTIFIED. BD CANNOT CONFIRM THE COMPLAINT BASED ON THE INVESTIGATION THAT WAS PERFORMED. BD DID NOT INITIATE A CORRECTIVE AND PREVENTIVE ACTION PLAN SINCE NO NEW HAZARD WAS IDENTIFIED.
IT WAS REPORTED THAT DURING USE OF BD MAX¿ CTGCTV2, A DISCREPANT CHLAMYDIA TRACHOMATIS PATIENT RESULT WAS OBTAINED. THE FIRST TEST WAS CHLAMYDIA TRACHOMATIS NEGATIVE. TEST WAS REPEATED FROM THE SAME SAMPLE TWICE, AND WAS CHLAMYDIA TRACHOMATIS POSITIVE BOTH TIMES. THERE WAS NO REPORT OF PATIENT IMPACT.
IT WAS REPORTED THAT DURING USE OF BD MAX¿ CTGCTV2, A DISCREPANT CHLAMYDIA TRACHOMATIS PATIENT RESULT WAS OBTAINED. THE FIRST TEST WAS CHLAMYDIA TRACHOMATIS NEGATIVE. TEST WAS REPEATED FROM THE SAME SAMPLE TWICE AND WAS CHLAMYDIA TRACHOMATIS POSITIVE BOTH TIMES. THERE WAS NO REPORT OF PATIENT IMPACT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 594852 | BD MAX¿ CTGCTV2 (US) | MULTIPLE-TYPE SEXUALLY TRANSMITTED PATHOGEN NUCLEIC ACID IVD KIT | LSL | GENEOHM SCIENCES CANADA, INC. (BD DIAGNOSTICS) | 5204477 | 00382904439040 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |