FDA Adverse Event Malfunction Summary report: N

VIDAS RUB IGG II 60 TESTS - 30221

MDR report key: 9856829 · Received March 19, 2020

Report

Report Number
8020790-2020-00033
Event Type
Malfunction
Date Received
March 19, 2020
Date of Event
February 8, 2020
Report Date
May 28, 2020
Manufacturer
BIOMÉRIEUX, SA
Product Code
LFX
PMA / PMN Number
K141133
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT WAS INITIALLY SUBMITTED FOLLOWING NOTIFICATION FROM A CUSTOMER IN FRANCE REGARDING FALSE POSITIVE RESULTS FOR A PATIENT TESTED WITH VIDAS RUB IGG II 60 TESTS (REF. (B)(4) LOT 1007673260). A BIOMÉRIEUX INTERNAL INVESTIGATION HAS BEEN COMPLETED WITH THE FOLLOWING RESULTS: NO CAPA OR NON-COMPLIANCE RELATED TO THE REASON FOR THE COMPLAINT. ACCORDING TO THE ANALYSIS OF THE QUALITY DATA, NO ANOMALIES DURING THE MANUFACTURING, CONTROL AND PACKAGING STAGES, IN CONNECTION WITH THE REASON FOR THE COMPLAINT. OBSERVATION OF FOUR (4) INTERNAL SAMPLES ON FIVE (5) LOTS OF VIDAS RUB GII, INCLUDING THE CLIENT LOT REVEALED THE CUSTOMER'S LOT IS IN THE TREND OF THE OTHER LOTS. THE RESULTS OBTAINED FOR CALIBRATION AND CONTROLS ARE IN ACCORDANCE WITH THE MLE DATA FOR THE CUSTOMER'S LOT. NEGATIVE INTERNAL SAMPLES TEST RESULTS OBTAINED FOR THE CALIBRATION AND THE CONTROLS CONFORM TO THE MLE DATA. THE RESULTS OBTAINED CONFORM TO THE EXPECTED STANDARDS. HOWEVER, THERE IS A NEGATIVE SHIFT IN RESULTS TOWARDS HIGH STANDARDS. THE SAMPLE WAS RETURNED AND TESTED WITH CUSTOMER LOT AND TWO OTHER LOTS. THE POSITIVE RESULT WAS CONFIRMED ON THE THREE (3) REAGENT LOTS, HOWEVER THE RESULTS VARIED. A DILUTION TEST WAS PERFORMED ON THE CUSTOMER LOT AND THERE WAS NO EVIDENCE OF INTERFERENCE. A TEST WAS PERFORMED BY BIOMNIS AND CONFIRMED THE RESULTS OBTAINED BY THE CUSTOMER WITH THE SAME TECHNIQUE AND MADE IT POSSIBLE TO RULE OUT A TUBE ERROR. THE VIDAS RUBG II (REF: (B)(4) LOT: 1007673260 / 201010-0) STILL COMPLIED WITH ITS SPECIFICATIONS. THE ANOMALY ENCOUNTERED BY THE CLIENT WAS RELATED TO THE SAMPLE. THE ABSOLUTE CAUSE OF THIS FALSE POSITIVE RESULT IS NOT CLEAR.

Additional Manufacturer Narrative · 1

DEVICE NOT RETURNED TO MANUFACTURER.

Description of Event or Problem · 1

A CUSTOMER FROM (B)(6) REPORTED TO BIOMÉRIEUX THAT THEY OBSERVED FALSE POSITIVE RESULTS FOR A PATIENT TESTED WITH VIDAS RUB IGG II 60 TESTS (REF. 30221, LOT 1007673260, EXPIRY DATE 10-OCT-2020). THE CUSTOMER OBTAINED THE FOLLOWING RESULTS FOR A PATIENT¿S SAMPLE TESTED WITH VIDAS RUB IGG II 60 TESTS, LOT 1007673260 ON 08-FEB-2020: INITIAL TESTING RESULT = 46 IU/ML (POSITIVE); RE-TESTING RESULT = 59 IU/ML (POSITIVE). TESTING OF THE PATIENT¿S SAMPLE VIA ALTERNATE METHODS PROVIDED THE FOLLOWING RESULTS: ARCHITECT ABBOTT RESULTS = 0.00 IU/ML (NEGATIVE) AND 0.4 IU/ML (NEGATIVE); WITH CHIMILUMINESCENCE TECHNIC, LIAISON DIASORIN RESULT: < 3 IU/ML (< 7 IU/ML: NEGATIVE). THE CUSTOMER INDICATED THAT CORRECT "NEGATIVE" RESULTS WERE COMMUNICATED TO THE PHYSICIAN. THERE IS NO EVIDENCE OF ANY ADVERSE HEALTH OUTCOME FOR THE PATIENT RELATED TO THIS ISSUE. A BIOMÉRIEUX INTERNAL INVESTIGATION WILL BE INITIATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
317134 VIDAS RUB IGG II 60 TESTS - 30221 VIDAS RUB IGG II 60 TESTS - 30221 LFX BIOMÉRIEUX, SA 1007673260

Patients

Seq Age Sex Outcome Treatment
1