COBAS TAQSCREEN MPX TEST, CE-IVD 04584244190

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 2014-11-26 for COBAS TAQSCREEN MPX TEST, CE-IVD 04584244190 manufactured by Roche Molecular Systems.

Event Text Entries

[5225534] A customer site in (b)(6) filed a complaint alleging that a (b)(6) results were generated when using the cobas taqscreen mpx test, ce-ivd. The customer generated (b)(6) results for a donor sample tested with the mpx test in pools of six and pools of one. However, upon retesting the blood bag sample, a (b)(6) mpx result was generated with pools of one. The donor serology was (b)(6).
Patient Sequence No: 1, Text Type: D, B5


[12528196] 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. The corresponding us mpx test is m/n 4584252190 bl125255 (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[35238564] (b)(4). The customer obtained non-reactive results for a donor sample tested during cobas taqscreen mpx primary pools of 6 and primary pools of 1 (pp6 and pp1). However the donor was found to be hbv serology positive. Due to the discrepant results obtained, the customer retested the donor's blood bag sample, and a reactive mpx pp1 result was obtained with a ct of 48. Additional testing with the cobas taqscreen mpx test was performed along with another nat test, the procleix ultrio assay. Both tests generated non-reactive results, matching the original results obtained with the cobas taqscreen mpx test. The result discrepancies in this complaint may be caused by the presence of a (b)(6) in the complaint sample. Review of qc release data for the 0. 5x lod (b)(6) panel generated a ct of approximately 35. A late ct of 48 in this case suggests the presence of a (b)(6) present in the complaint sample. Retain testing of the complaint lot was performed and testing did not reproduce the customer's allegation. There is no indication of a product non-conformance and the product is performing as intended. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2243471-2014-00019
MDR Report Key4281108
Report Source01,05
Date Received2014-11-26
Date of Report2015-01-14
Date of Event2014-10-27
Date Mfgr Received2015-01-14
Date Added to Maude2014-12-05
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 TAQSCREEN MPX TEST, CE-IVD
Generic NameHEPATITIS VIRAL B DNA DETECTION
Product CodeMKT
Date Received2014-11-26
Catalog Number04584244190
Lot Number158587
Device Expiration Date2015-12-31
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 2014-11-26

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