MAUDE MDR 2113208

MDR report key
2113208
Report number
MW5020803
Event key
0
Event type
3
Date of event
2010-11-16
Date received
2011-05-27
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ONCOTYPE DX MULTIVARIATE INDEXONCOTYPE DXGENOMIC HEALTHNPQ Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12011-05-270

Event Narratives#

D

Patient 1

THIS CASE IS UNEQUIVOCALLY AMPLIFIED FOR HER2 GENE BY THE FDA APPROVED VYSIS PROBE FISH KIT. THE ONCOTYPE RT-PCR TEST/DEVICE, A LABORATORY-DEVELOPED, MULTIVARIATE INDEX ASSAY, REPORTS AN EQUIVOCAL HER2 RESULT FOR THIS PT, WHICH IMPLIES TWO POTENTIALLY HARMFUL ISSUES TO THE PT, WHO IS A CANDIDATE FOR HER2 TARGETED THERAPY ACCORDING TO THE AMPLIFIED FISH RESULT: IT CLOUDS THE CLINICIAN'S JUDGEMENT ABOUT WHETHER TO GIVE HER2 THERAPY AND RAISES SERIOUS QUESTIONS ABOUT THE ROBUSTNESS OF THE OTHER 15 GENE COMPONENTS OF THE ONCOTYPE TEST, AND HENCE, THE RECURRENCE SCORE, WHICH IS THE CORE RESULT OF THE ONCOTYPE TEST. IF A CLINICIAN CHOOSES NOT TO TREAT THIS PT BASED ON THE ONCOTYPE HER2 RESULT, THE STANDARD OF CARE WILL NOT BE MET, AND LITIGATION BECOMES A SERIOUS ISSUE FOR THIS CASE.