FDA Adverse Event Summary report: N

AMPLILINK SOFTWARE V3.2.3 WITH CAP/CTM AND COBAS AMPLICOR

MDR report key: 2494628 · Received March 16, 2012

Report

Report Number
2243471-2012-00013
Date Received
March 16, 2012
Date of Event
February 16, 2012
Report Date
February 17, 2012
Manufacturer
ROCHE MOLECULAR SYSTEMS
Product Code
JJF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE INVESTIGATION DETERMINED THAT INCORRECT TEST IDS WERE BEING SENT IN THE ASTM TRANSMISSION FROM THE CUSTOMER'S LABORATORY INFORMATION SYSTEM (LIS) TO AMPLILINK (AL) SOFTWARE VERSION 3.2.3. THIS FORMAT DOES NOT FOLLOW THE ASTM PROTOCOL DEFINITIONS PROVIDED IN THE AMPLILINK 3.2 HOST INTERFACE MANUAL. THIS CAUSED ORDERS TO BE REJECTED BY AL, AS THE ORDERS COULD NOT BE INTERPRETED. THE AMPLILINK TRACE FILES SHOWED THAT THE REJECTED ORDER WAS SENT TO THE LIS BUT THAT REJECTED ORDER WAS NOT HANDLED PROPERLY BY THE LIS. IF THE ORDER HAD BEEN SENT IN THE CORRECT FORMAT FROM THE LIS, THE ISSUE WOULD NOT HAVE OCCURRED. IN THIS PARTICULAR COMPLAINT CASE, A SOFTWARE CONCURRENCY ISSUE WAS OBSERVED. AT THE SAME MOMENT WHEN THE REJECTED ORDER WAS SENT TO LIS, A RESULT WAS ALSO SENT TO LIS. THESE TWO ASTM RECORDS WERE MIXED UP, AND THE RESULT OF SAMPLE (B)(4) WAS APPENDED TO THE REJECTED ORDER ID (B)(4).

Description of Event or Problem · 1

A CUSTOMER FROM (B)(6) REPORTED THAT RESULTS FOR TESTS THAT HAD BEEN PREVIOUSLY PROCESSED WERE INCLUDED ON ORDERS SENT FROM THEIR LIS TO THE AMPLILINK (AL) SOFTWARE V.3.2.3.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AMPLILINK SOFTWARE V3.2.3 WITH CAP/CTM AND COBAS AMPLICOR USER INTERFACE AND DATA MANAGEMENT SOFTWARE FOR USE WITH AUTOMATED PCR INSTRUMEN JJF ROCHE MOLECULAR SYSTEMS

Patients

Seq Age Sex Outcome Treatment
1