BLOCK CYCLER 96 S 05047927001

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 2012-06-29 for BLOCK CYCLER 96 S 05047927001 manufactured by Roche Molecular Systems.

Event Text Entries

[2825981] A customer site in (b)(6) alleged that a large amount of invalid results were generated after changing a thermal cycler on the cobas x 480 instrument (the amplification and detection instrument used with the cobas 4800 system). Specifically, the customer has noticed an increase of more than 10 invalid results post the replacement of a tc block material # 05015162001, sn (b)(4). The cobas x 480 has completed all the runs in question with no hardware error or warning. It is unknown if erroneous results were generated.
Patient Sequence No: 1, Text Type: D, B5


[9814005] A definitive conclusion cannot be drawn at this time, as the investigation into this issue is ongoing. The outcome of the investigation will be communicated through a follow-up report. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[10274341] Date of follow-up information was received. Follow up report 1. Additional information / device evaluation. Device evaluated by manufacturer yes. A customer site in (b)(4) alleged that a large amount of invalid results were generated after changing a thermal cycler on the cobas x 480 instrument. An initial investigation into this issue determined that the tc block contained a control sensor that was out of specification. The root cause for the out of specification control sensor is still being investigated; the outcome of the investigation will be communicated through another follow-up report. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[19059860] (b)(4) - root cause was invesitgated and could not be determined. Investigation into this issue determined that the thermal cycler block contained a control sensor that was out of specification. Upon investigation there was no trend found in the field. The control sensor resistance specification is checked during instrument production and the likelihood of an offset in the resistance is rare. The root cause for the out of specification control sensor was not determined. The manufacturer (measurement specialties) was contacted to conduct destructive testing of the blockcycler. However, further analysis was unable to be performed as it would cause damage and the results would be inconclusive. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2243471-2012-00029
MDR Report Key2635750
Report Source01,05
Date Received2012-06-29
Date of Report2012-11-05
Date of Event2012-03-15
Date Mfgr Received2012-11-05
Date Added to Maude2012-10-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
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 NameBLOCK CYCLER 96 S
Generic NameDNA PROBE, NUCLEIC ACID AMPLIFICATION, CHLAMYDIA
Product CodeMKZ
Date Received2012-06-29
Catalog Number05047927001
Lot Number028704
OperatorHEALTH PROFESSIONAL
Device AgeDA
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 2012-06-29

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