FDA Adverse Event Malfunction Summary report: N

VIDAS® TROPONIN I ULTRA

MDR report key: 7734984 · Received July 31, 2018

Report

Report Number
3002769706-2018-00122
Event Type
Malfunction
Date Received
July 31, 2018
Date of Event
May 20, 2018
Report Date
August 29, 2018
Manufacturer
BIOMERIEUX SA
Product Code
MMI
PMA / PMN Number
K063243
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TW
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

A CUSTOMER IN TAIWAN NOTIFIED BIOMÉRIEUX OF FALSE POSITIVE RESULTS WHEN TESTING WITH VIDAS® TROPONIN I ULTRA (REF 30448, LOT 1006309100). AN INTERNAL BIOMÉRIEUX INVESTIGATION WAS PERFORMED. QUALITY CONTROL RECORDS: NO NON-CONFORMITY OR CAPA LINKED TO THE CUSTOMER'S COMPLAINT IS RECORDED ON VIDAS TROPONIN I ULTRA (TNIU). ANALYSIS OF THE BATCH HISTORY RECORDS: THERE WAS NO ANOMALY DURING THE MANUFACTURING AND CONTROL PROCESSES. STUDY OF INTERNAL SAMPLES CONTROL CHARTS: AT LEAST FOUR (4) INTERNAL SAMPLES ON FIVE (5) VIDAS TNIU LOTS INCLUDING LOT 1006309100 / 190212-0 : ALL RESULTS ARE WITHIN THE EXPECTED SPECIFICATIONS, AND THE INCRIMINATED LOT IS WITHIN THE TREND OF THE PARAMETER. TESTS PERFORMED: REPEATABILITY TESTING WAS PERFORMED ON BLOOD DONOR (EFS POOL) SAMPLES. THE TEST WAS REPEATED 30 TIMES AND ALL ARE < 0.01 G/L. NO OUTLIER WAS OBSERVED; THE CUSTOMER ANOMALY WAS NOT REPRODUCED. CONCLUSION ACCORDING TO ALL INFORMATION ABOVE, THE PERFORMANCE OF VIDAS TNIU BATCH 1006309100 / 190212-0 IS WITHIN SPECIFICATIONS.

Description of Event or Problem · 1

A CUSTOMER IN (B)(6) NOTIFIED BIOMÉRIEUX OF FALSE POSITIVE RESULTS WHEN TESTING WITH VIDAS® TROPONIN I ULTRA (REF (B)(4), LOT 1006309100). THE CUSTOMER TESTED SERUM FROM THREE DIFFERENT PATIENTS. FOR EACH ONE, THE FIRST RESULT WAS POSITIVE AND WHEN RETESTED, THE RESULT OBTAINED WAS <0.01 UG/L (NEGATIVE). THE SAMPLES AND RESULTS ARE AS FOLLOWS: SAMPLE (B)(6): SAMPLE TESTING BEGAN (B)(6) 2018 AT 13:36:26 WITH RESULT : 0.04 UG/L. SAMPLE TESTING BEGAN (B)(6) 2018 AT 14:02:44 WITH RESULT : < 0.01 UG/L. SAMPLE (B)(6): SAMPLE TESTING BEGAN (B)(6) 2018 AT 14:59:58 WITH RESULT : 0.09 UG/L. SAMPLE TESTING BEGAN (B)(6) 2018 AT 15:37:42 WITH RESULT : < 0.01 UG/L. SAMPLE (B)(6): SAMPLE TESTING BEGAN (B)(6) 2018 AT 07:55:57 WITH RESULT : 0.07 UG/L. SAMPLE TESTING BEGAN (B)(6) 2018 AT 08:28:11 WITH RESULT : < 0.01 UG/L. EACH SAMPLE WAS CENTRIFUGED AT A SPEED OF 1200 RPM/MINS FOR 10 MINUTES. THE CUSTOMER NO LONGER HAS THE SAMPLES TO SUBMIT FOR EVALUATION. THE CUSTOMER REPORTED THAT NO PATIENT RESULTS WERE AFFECTED, NO WRONG RESULTS WERE REPORTED TO A PHYSICIAN, AND THERE WAS NO PATIENT HARMED OR TREATED INCORRECTLY. THE CUSTOMER REPORTED A DELAY OF APPROXIMATELY 1-2 HOURS. AN INTERNAL BIOMÉRIEUX INVESTIGATION WILL BE INITIATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
577790 VIDAS® TROPONIN I ULTRA VIDAS® TROPONIN I ULTRA MMI BIOMERIEUX SA 1006309100

Patients

Seq Age Sex Outcome Treatment
1