SIMPLEXA FLU A/B AND RSV DIRECT ASSAY MOL2650

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2014-12-29 for SIMPLEXA FLU A/B AND RSV DIRECT ASSAY MOL2650 manufactured by Focus Diagnostics, Inc..

Event Text Entries

[5238057] The customer reported that they are getting false flu b results. They have received 3 samples that were low positive during testing. When repeated, the tests results have all been negative. A voluntary recall has been performed related to the reported lot.
Patient Sequence No: 1, Text Type: D, B5


[12657055] The testing detected the presence of flu a, flu b, and rsv analytes in the positive control. The customer's samples were all flu b negative. The data indicated that the component mol 2651 was most likely the cause of the aberrant flu b signals observed by the customer. The investigation of the simplexa flu a/b rsv direct kit (mol2650) suggested that the root cause for the occurrence of false positive (and sub-amplifications) were due to the lot to lot variability of the scorpion primers. To mitigate the occurrence of false positives (and sub-amplifications), focus dx replaced the recombinant taq polymerase used in the mol2651 reaction mix with hot-start taq polymerase and reduced production time following bulk mol2651 formulation to 2 hours. Additionally, focus dx now employs more extensive testing with no template control (ntc) in the qa kit release criteria. These corrective and preventative actions are effective in mitigating the effects posed by the potential lot to lot variability of the scorpions. Mfr ref #:(b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2023365-2014-00032
MDR Report Key4379509
Report Source05
Date Received2014-12-29
Date of Report2014-01-30
Date of Event2014-01-30
Date Mfgr Received2014-02-03
Device Manufacturer Date2014-01-01
Date Added to Maude2015-01-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactVALERIE CIMMARUSTI, CLS
Manufacturer Street11331 VALLEY VIEW ST
Manufacturer CityCYPRESS CA 90630
Manufacturer CountryUS
Manufacturer Postal90630
Manufacturer Phone5622406484
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction NumberZ-1144-2014
Event Type3
Type of Report3

Device Details

Brand NameSIMPLEXA FLU A/B AND RSV DIRECT ASSAY
Generic NameIN-VITRO-DIAGNOTIC TEST, INFLUENZA
Product CodeOCC
Date Received2014-12-29
Returned To Mfg2014-02-04
Model NumberMOL2650
Catalog NumberMOL2650
Lot Number24732
ID NumberNA
Device Expiration Date2015-01-31
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerFOCUS DIAGNOSTICS, INC.
Manufacturer AddressCYPRESS CA US


Patients

Patient NumberTreatmentOutcomeDate
10 2014-12-29

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