BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SIMPLEXA FLU A/B AND RSV DIRECT ASSAY

    MDR report key: 4379514 · Received December 29, 2014

    Report

    Report Number
    2023365-2014-00029
    Event Type
    Malfunction
    Date Received
    December 29, 2014
    Date of Event
    January 30, 2014
    Report Date
    January 30, 2014
    Manufacturer
    FOCUS DIAGNOSTICS, INC.
    Product Code
    OCC
    PMA / PMN Number
    K120413
    Removal / Correction Number
    Z-1144-2014
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE INVESTIGATION OF THE SIMPLEXA FLU A/B RSV DIRECT KIT (MOL2650) SUGGESTED THAT THE ROOT CAUSE FOR THE OCCURRENCE OF FALSE POSITIVE (AND SUB-AMPLIFICATIONS) WERE DUE TO THE LOT TO LOT VARIABILITY OF THE SCORPION PRIMERS. TO MITIGATE THE OCCURRENCE OF FALSE POSITIVES (AND SUB-AMPLIFICATIONS), (B)(4). THESE CORRECTIVE AND PREVENTATIVE ACTIONS ARE EFFECTIVE IN MITIGATING THE EFFECTS POSED BY THE POTENTIAL LOT TO LOT VARIABILITY OF THE SCORPIONS. (B)(4).

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THEY ARE SEEING FALSE POSITIVE FLU B RESULTS WITH THEIR SAMPLE TESTING. THERE HAVE BEEN FOUR SAMPLES THAT CAME UP LATE FOR FLU B AND UPON REPEAT TESTING WITH ANOTHER REFERENCE KIT, ALL FOUR SAMPLES WERE NEGATIVE FOR FLU B. THE RESULTS WERE REPORTED TO THE DOCTOR. THIS MDR IS FOR THE SECOND OF THE FOUR SAMPLE RESULTS THAT WERE REPORTED. A VOLUNTARY RECALL HAS BEEN PERFORMED RELATED TO THE REPORTED LOT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    855480 SIMPLEXA FLU A/B AND RSV DIRECT ASSAY IN-VITRO-DIAGNOTIC TEST, INFLUENZA OCC FOCUS DIAGNOSTICS, INC. MOL2650 24732

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK