GENEPATH

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-10-31 for GENEPATH manufactured by Bio Reference Lab.

Event Text Entries

[5073899] Her2 fish testing done on recurrent breast cancer by genepath was amplified at 3. 1. Testing on same tumor by foundation one next generation sequencing showed no amplification. Known triple negative breast cancer on which multiple prior her2 testing and foundation testing confirmed (both primary and other recurrences) at this being her2 negative/not amplified. Brought to attention of our hospital pathology dept who mentioned this confirmed the fourth patient with false her2 positivity by genepath testing. This would have exposed patient to side effects of her2-targeted therapies without providing benefit if i had acted clinically on this information. Our pathology department said they notified genepath who stood by their call. Our pathology is retesting rumors that were positive over the time-frame that the vendor was used however, calls into question validity of either test being used by genepath and/or interpretation of results. It is not known if false negatives are also an issue. However, this is a legal issue in addition to patient safety and optimal care, especially for patients with potentially curable cancers. Our pathology department was using genepath for her2 fish assays from january 2014 through about july 2014. When brought to their attention, our pathology department switched back to prior vendor for testing. It is not known to us how genepath is responding to this issue and potentially how many other patients (breast or other cancers ) were affected and do not know.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5038965
MDR Report Key4231799
Date Received2014-10-31
Date of Report2014-10-31
Date of Event2014-06-26
Date Added to Maude2014-11-07
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameGENEPATH
Generic NameHER2 FISH ASSAY
Product CodeMVU
Date Received2014-10-31
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerBIO REFERENCE LAB


Patients

Patient NumberTreatmentOutcomeDate
10 2014-10-31

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