COBAS MRSA/SA TEST FOR USE ON THE COBAS 4800 SYSTEM 06768172190

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 2015-05-13 for COBAS MRSA/SA TEST FOR USE ON THE COBAS 4800 SYSTEM 06768172190 manufactured by Roche Molecular Systems.

Event Text Entries

[5791991] A customer site in (b)(6) filed a complaint alleging that (b)(6) results for one sample were generated with the cobas (b)(6) test for use on the cobas 4800 system ivd. The sequence type was stated to be st398. All run controls were valid and the ic ct values were within the predefined ranges for the test. The sample was culture positive for (b)(6). It was also stated that the results were negative with the bd-max test.
Patient Sequence No: 1, Text Type: D, B5


[13425900] 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. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[39791648] Date of report 07/31/2015. Date received by manufacturer 07/31/2015. Follow up report 1. Additional information / device evaluation. Device evaluated by manufacturer yes. (b)(4) a customer from germany alleged that a (b)(6) while using the cobas mrsa/sa test. The customer requested information on if our assay detected st398 ((b)(6)). A sample testing in (b)(6) 2015 generated (b)(6) but was (b)(6) when testing by cobas 4800 and bd-max platforms. Additional testing was performed in which a (b)(6) was generated as well the run data was provided and evaluated. The data shows that the cobas 4800 reagents are working as expected; all controls including the internal control (ic) are valid. The sample did generate robust curves for sa and ic which shows that the sample contains the necessary amount of nucleic acids needed to perform and generate reliable results with the cobas mrsa test. Also note that within the same run as the sample in question, there are properly identified (b)(6) samples. The (b)(6) sequence type (st) 398 is known to be associated with livestock but has been documented to infect humans as well at a lower prevalence. The cobas mrsa/sa test can detect some isolates associated with st398 but not all. The alleged (b)(6) that is being observed by the customer is most likely sample related. Please note that the sample type used during testing within the current case was off-label. A mix sample collected from the nose, throat, and perineum is not a validated sample type for the cobas mrsa/sa test. Samples were provided for sequencing. Two samples were provided: the original copan e swab and swab from culture. The sequencing results are inconclusive, as a complete sequence has not been able to be obtained. The re type cannot be verified sequence analysis due to the lack of upstream binding region for the assay oligos. Without the re type it cannot be determined why the sample in question was not detected by the cobas mrsa/sa test, but is likely a sample specific issue. Retain kit testing results met specification and the customer allegation was not observed. There is no indication of a product malfunction. (b)(4)
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2243471-2015-00004
MDR Report Key4769889
Report Source01,05
Date Received2015-05-13
Date of Report2015-07-31
Date of Event2015-02-19
Date Mfgr Received2015-07-31
Date Added to Maude2015-06-12
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 NameCOBAS MRSA/SA TEST FOR USE ON THE COBAS 4800 SYSTEM
Generic NameNUCLEIC ACID TEST FOR DETECTION OF METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS
Product CodeNQX
Date Received2015-05-13
Catalog Number06768172190
Lot NumberT04206
Device Expiration Date2015-10-31
OperatorHEALTH PROFESSIONAL
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 2015-05-13

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