FDA Adverse Event Summary report: N

COBAS AMPLIPREP / COBAS TAQMAN HIV-1 TEST, VERSION 2.0

MDR report key: 2880044 · Received December 19, 2012

Report

Report Number
2243471-2012-00039
Date Received
December 19, 2012
Date of Event
October 26, 2012
Report Date
January 24, 2013
Manufacturer
ROCHE MOLECULAR SYSTEMS
Product Code
MZF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DEVICE PERFORMED ACCORDING TO SPECIFICATIONS. UNABLE TO CONFIRM COMPLAINT. NO FAILURE DETECTED AND PRODUCT WITHIN SPECIFICATIONS. THE CUSTOMER COMPLAINT ALLEGED DISCREPANT RESULTS WERE GENERATED FOR ONE SAMPLE WITH THE COBAS AMPLIPREP / COBAS TAQMAN (CAP/CTM) (B)(6) TEST, V2.0 CE-IVD. SAMPLE (B)(6) GENERATED A RESULT OF 2.440 CP/ML ON (B)(6) 2012. THE SAME SAMPLE WAS RE-TESTED ON (B)(6) 2012 AND GENERATED A RESULT OF TARGET NOT DETECTED (TND). ALTHOUGH REQUESTED, THE SAMPLE IN QUESTION WAS NOT AVAILABLE FOR INVESTIGATIVE TESTING. WITHOUT HAVING THE SAMPLE, THE CAUSE OF THE RESULT DISCREPANCY CANNOT BE DETERMINED. RETAIN TESTING OF THE COMPLAINT KIT LOT MET SPECIFICATIONS. BASED ON THE AVAILABLE INFORMATION, THERE IS NO INDICATION OF A PRODUCT NON-CONFORMANCE. _______________ (B)(4).

Additional Manufacturer Narrative · 1

A DEFINITIVE CONCLUSION CANNOT BE DRAWN AT THIS TIME, AS THE INVESTIGATION INTO THIS ISSUE IS ONGOING. THE OUTCOME OF THIS INVESTIGATION WILL BE COMMUNICATED THROUGH A FOLLOW-UP REPORT. (B)(4).

Description of Event or Problem · 1

A CUSTOMER SITE IN (B)(6) FILED A COMPLAINT ALLEGING DISCREPANT RESULTS WERE GENERATED FOR ONE SAMPLE WITH THE COBAS AMPLIPREP / COBAS TAQMAN HIV-1 TEST, (B)(6). THE SAME SAMPLE WAS RE-TESTED ON (B)(6) 2012 AND GENERATED A RESULT OF TARGET NOT DETECTED (TND) IT IS CURRENTLY UNKNOWN IF ANY PATIENT TREATMENT WAS AFFECTED BY THE DISCREPANT RESULTS. THE SAMPLE HAS BEEN REQUESTED FOR INVESTIGATIVE TESTING. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COBAS AMPLIPREP / COBAS TAQMAN HIV-1 TEST, VERSION 2.0 TEST, HIV DETECTION MZF ROCHE MOLECULAR SYSTEMS R00004

Patients

Seq Age Sex Outcome Treatment
1