COBAS TAQMAN HBV TEST FOR USE WITH HIGH PURE SYSTEM 03577163190

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2011-05-20 for COBAS TAQMAN HBV TEST FOR USE WITH HIGH PURE SYSTEM 03577163190 manufactured by Roche Molecular Systems.

Event Text Entries

[20392004] No investigation is warranted at this time. The customer released results on an invalid run, which is an off label practice that is not supported by the product labeling. This case does not warrant the filing of an mdr as no device-related deaths, serious injuries, or reportable malfunctions were identified. However, as per previous discussion with the fda, cdrh, a mdr will be filed to alert fda of occurrences where a customer site has reported invalid test results. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[20412032] A customer site in the united states using the cobas taqman hbv test for use with the high pure system performed a run with two sets of roche controls. One of the high positive controls was qs_invalid, resulting in an invalid run. However, the customer released the results, which is an off label practice that is not supported by the product labeling.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2243471-2011-00058
MDR Report Key2097758
Report Source05
Date Received2011-05-20
Date of Event2011-04-09
Device Manufacturer Date2010-10-07
Date Added to Maude2012-01-06
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 Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOBAS TAQMAN HBV TEST FOR USE WITH HIGH PURE SYSTEM
Generic NameHEPATITIS VIRAL B DNA DETECTION
Product CodeMKT
Date Received2011-05-20
Catalog Number03577163190
Lot NumberN11848
Device Expiration Date2012-05-31
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerROCHE MOLECULAR SYSTEMS
Manufacturer Address1080 US HW 202S BRANCHBURG NJ 08876373 US 08876 3733


Patients

Patient NumberTreatmentOutcomeDate
10 2011-05-20

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