BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AB/DR SSP UNITRAY

    MDR report key: 3435246 · Received October 2, 2013

    Report

    Report Number
    2244574-2013-00021
    Event Type
    Malfunction
    Date Received
    October 2, 2013
    Date of Event
    August 23, 2013
    Report Date
    August 30, 2013
    Manufacturer
    LIFE TECHNOLOGIES CORP.
    Product Code
    MZI
    PMA / PMN Number
    BK000019
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THE INTERNAL INVESTIGATION IDENTIFIED THAT THE REACTIVITY ASSIGNMENT IN OUR HUMAN OLIGOTYPING SOFTWARE (HOS) PROGRAM FOR A32:04 ALLELE IN PRIMER MIX PM019E WAS DETERMINED TO BE INCORRECT. PRODUCT LABELING WITH PRIMER MIX PM019E WILL BE UPDATED TO REMOVE SPECIFICITY FOR THE A 32:04 ALLELE. ADDITIONAL INVESTIGATION ACTIVITIES ARE STILL ONGOING AND WILL BE REPORTED IN THE 30-DAY REPORT.

    Description of Event or Problem · 1

    THIS EVENT WAS A RESULT OF THE INTERNAL COMPLAINT INVESTIGATION FOR PROBLEM REPORT PR#(B)(4). THE REACTIVITY ASSIGNMENT IN OUR HUMAN OLIGOTYPING SOFTWARE (HOS) PROGRAM FOR A32:04 ALLELE IN PRIMER MIX PM019E WAS DETERMINED TO BE INCORRECT. AB/DR SSP UNITRAY (CATALOG# 7810010 LOT# 036 1316325) WAS AFFECTED BY THE INCORRECT A32:04 ALLELE ASSIGNMENT. THE KITS WILL PRODUCE AN INCORRECT LOW RESOLUTION TYPING OR MISTYPING RESULT OF A 02, A 03 ALLELES WHEN TESTING A SAMPLE WHICH HAS THE A 32:04 ALLELE. THE USER WILL BE UNAWARE OF THE INCORRECT TYPE, UNLESS THEY CONFIRM THE SAMPLE TYPING BY ANOTHER METHOD, THEREFORE, THIS WOULD BE CONSIDERED A MISTYPE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    498908 AB/DR SSP UNITRAY MZI TEST, QUALITATIVE FOR HLA, NON-DIAGN MZI LIFE TECHNOLOGIES CORP. 036 1316325

    Patients

    Seq Age Sex Outcome Treatment
    1