CAP-CTM HCV QUANT TEST, V2.0 CE-IVD 05532264190

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 2014-03-20 for CAP-CTM HCV QUANT TEST, V2.0 CE-IVD 05532264190 manufactured by Roche Molecular Systems.

Event Text Entries

[16594473] A customer in (b)(6) filed a complaint alleging that discrepant inter and intra assay hcv results were generated for one patient when using the cobas ampliprep / cobas taqman (cap/ctm) hcv quantitative test, v2. 0 when compared to results generated with the cobas ampliprep / cobas taqman (cap/ctm) hcv qualitative test, v2. 0 and serology. The patient was reported to be hcv serology positive. The results are as follows:date sample # test result (b)(6) 2014 hcl-257 cap/ctm hcv quant target not detected (tnd) (b)(6) 2014 rhcv-129 cap/ctm hcv qual positive (b)(6) 2014 hcl-257rr cap/ctm hcv qual positive (b)(6) 2014 hcv-129 cap/ctm hcv quant 550 iu/ml (1. 74 log)
Patient Sequence No: 1, Text Type: D, B5


[16690668] A definitive conclusion cannot be drawn at this time, as the investigation into this issue is ongoing. The outcome of this investigation will be communicated through a follow-up report. The associated us product code is (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[34891351] Date additional information was received by manufacturer (b)(6) 2014 device evaluated by manufacturer: yes. (b)(4). The case was filed by an australian customer for the generation of discrepant results for samples from the same patient; the cobas ampliprep/cobas taqman hcv qualitative test, v2. 0 generated positive results while the cobas ampliprep/cobas taqman hcv quantitative test, v2. 0 generated a target not detected result and a detectable titer. In the initial report 2243471-2014-00005, it was originally indicated that the cobas ampliprep/cobas taqman hcv quantitative test, v2. 0 generated a target not detected and a titer of 550 iu/ml; during the course of the investigation, it was determined that the results generated were target not detected and 55 iu/ml (550 iu/ml was erroneously provided and included in the initial report submitted). Based on all of the data provided through the global case for this patient, the target not detected result is not unexpected since the 55 iu/ml result, generated with the same test, demonstrates that the patient contains a low level hcv infection near the lower limit of quantitation of the test (15 iu/ml). A titer near the test's lower limit of quantitation is subject to the greatest variability within the test's linear range, resulting in the test not being able to consistently generated a quantifiable titer. The cobas ampliprep/cobas taqman hcv quantitative test, v2. 0 test is intended for use to monitor the infection of known-positive hcv patients. The retain kits were tested and met specifications; no issues were observed during the investigation.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2243471-2014-00005
MDR Report Key3690201
Report Source01,05
Date Received2014-03-20
Date of Report2014-03-27
Date of Event2014-02-03
Date Mfgr Received2014-03-27
Date Added to Maude2014-05-20
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 NameCAP-CTM HCV QUANT TEST, V2.0 CE-IVD
Generic NameASSAY, HYBRIDIZATION AND/OR NUCLEIC ACID AMPLIFICATION FOR DETECTION OF HCV
Product CodeMZP
Date Received2014-03-20
Catalog Number05532264190
Lot Number131002
Device Expiration Date2014-11-30
Device AvailabilityN
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 2014-03-20

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