BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SIMPLEXA FLU A/B AND RSV DIRECT ASSAY

    MDR report key: 4379543 · Received December 29, 2014

    Report

    Report Number
    2023365-2014-00024
    Event Type
    Malfunction
    Date Received
    December 29, 2014
    Date of Event
    January 29, 2014
    Report Date
    January 29, 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
    MN, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    THE CUSTOMER USED UP ALL THE REAGENT AND HAD NOTHING TO RETURN. 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. (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 GETTING SPORADIC FLU B POSITIVE RESULTS THAT COME UP NEGATIVE UPON REPEAT. FOUR OF THE EIGHT FLU B POSITIVES WERE REPORTED TO THE DOCTOR. THIS MDR IS FOR THE SECOND OF FOUR RESULTS THAT WERE REPORTED TO THE DOCTOR. A VOLUNTARY RECALL HAS BEEN PERFORMED RELATED TO THE REPORTED LOT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    855452 SIMPLEXA FLU A/B AND RSV DIRECT ASSAY IN-VITRO-DIAGNOTIC TEST, INFLUENZA OCC FOCUS DIAGNOSTICS, INC. MOL2650 24605

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK