COBAS TAQSCREEN MPX TEST 04584244190

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05 report with the FDA on 2011-05-06 for COBAS TAQSCREEN MPX TEST 04584244190 manufactured by Roche Molecular Systems.

Event Text Entries

[17183181] (b)(4). The (b)(6) from the donation tested on (b)(6) 2010 cannot be determined, as there is no remaining plasma available for investigation. The ct values of the original and re-test results are indicative of a low-titer sample that is below the limit of detection (lod) of the cobas taqscreen mpx test. Therefore, reproducibility of (b)(6) results for this donation, which appears to be below lod, is expected to be less than 95%, as stated in the package insert for the test. Local investigation of the most recent donation from this donor ((b)(6) 2011) yielded (b)(6) using the (b)(4). The donor is suspected of having an (b)(6), which is characterized by low level, fluctuating (b)(6) dna levels in the plasma and, for this reason, (b)(6) dna is usually not consistently detected, even with individual testing. No product non-conformance was identified. The issue of (b)(6) results is possible, when the (b)(6) is at or below lod. In that case, >5% of sample replicates are expected to be negative, and this information is documented in product labeling. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[17192777] A customer in (b)(6) reported that an alleged (b)(6) test result with the cobas taqscreen mpx test lead to the transfusion of (b)(6) donor material. The donor was originally tested with the cobas taqscreen mpx test on (b)(6) 2010. The test result from this donation was (b)(6) in a pool of 6. On (b)(6) 2011, the same donor was tested, in a pool of 6, with the cobas taqscreen mpx test. The test result from this donor was (b)(6). Additionally, the donation was (b)(6). Subsequent resolution testing and further discriminatory testing (cobas ampliscreen test) yielded (b)(6) results. The customer then tested, in a pool of 6 and a pool of 1, the donor's archived sample from the (b)(6) 2010 donation with the cobas taqscreen mpx test with id. The test results were (b)(6). Using cobas ampliscreen the (b)(6) result were (b)(6) in a pool of 6 and a pool of 1. Three recipients have received blood components from the (b)(6) 2010 donation. The recipients are (b)(6). Two of the three recipients have the record of (b)(6) before transfusion
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2243471-2011-00051
MDR Report Key2079571
Report Source01,05
Date Received2011-05-06
Date of Report2011-04-11
Date of Event2011-04-07
Date Mfgr Received2011-04-11
Device Manufacturer Date2009-12-22
Date Added to Maude2011-05-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactVINCENT STAGNITTO
Manufacturer Street1080 US HWY 202S
Manufacturer CityBRANCHBURG NJ 088763733
Manufacturer CountryUS
Manufacturer Postal088763733
Manufacturer Phone9082537569
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOBAS TAQSCREEN MPX TEST
Generic NameHEPATITIS VIRAL B DNA DETECTION
Product CodeMKT
Date Received2011-05-06
Catalog Number04584244190
Lot NumberM12236
Device Expiration Date2010-09-30
OperatorMEDICAL TECHNOLOGIST
Device AvailabilityN
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerROCHE MOLECULAR SYSTEMS
Manufacturer Address1080 US HW 202S BRANCHBURG NJ 08876373 US 08876 3733


Patients

Patient NumberTreatmentOutcomeDate
10 2011-05-06

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