QUANTIFERON TB GOLD

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-08-12 for QUANTIFERON TB GOLD manufactured by Cellestis Ltd.

Event Text Entries

[24149854] Legal communication was rec'd that was identified as requiring a medwatch report. The company has decided to submit this mdr for info purposes in an abundance of caution and to ensure ful compliance w/21 cfr part 803. Based upon the intended use of the product, if a positive result is obtained, the physician is advised to repeat the test for confirmation, and in general the results of the screening test are to be taken into consideration w/the patient's epidemiological history, current medical status and results of other diagnostic evaluations. The patient had been given a chest x-ray prior to beginning treatment w/humira on (b)(6) 2012 & the result for acute (b)(6). The alleged problems reported are the outcome of diagnosis, and subsequent treatment. Cellestis does not comment on the allegations made by the patient. We have elected to report this event to the fda for info only & the info within this report is not admission of fault in the product. Cellestis filed notification of the voluntary recall through the regional fda district recall office on 160 oct 2012. Closure of the recall by the fda was rec'd 25 apr 2013.
Patient Sequence No: 1, Text Type: N, H10


[24149855] The patient's atty claims that his patient (b)(6) was tested and found to be (b)(6), based on the use of a cellestis quantiferon tb gold test. The assumption is the test was performed on a lot of tb tubes which were recalled by the firm (reference 3003964343-01/28/13-001-r). At the time of tb diagnoses, the patient was undergoing treatment for crohn's disease. The patient was informed by her doctor that she had to delay her immunosuppressive therapy and begin treatment w/inh & pyridoxine due to the positive quantiferon tb gold test. The patient underwent treatment for 4 1/2 months. After receiving notification of the recall, the patient was re-tested on (b)(6 )2012 & found to be (b)(6). The patient claim she suffered significant physical damages and emotional distress as a result of the (b)(6) diagnosis.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3003964343-2015-00006
MDR Report Key5001352
Date Received2015-08-12
Date of Report2015-08-11
Date of Event2012-08-08
Date Mfgr Received2015-08-06
Date Added to Maude2015-08-13
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 FDA3
Event Location3
Manufacturer ContactDONNA SOWERS
Manufacturer Street19300 GERMANTOWN RD.
Manufacturer CityGERMANTOWN MD 20874
Manufacturer CountryUS
Manufacturer Postal20874
Manufacturer Phone2406867876
Single Use3
Previous Use Code3
Removal Correction Number3003964343-01/28/13-001-
Event Type3
Type of Report0

Device Details

Brand NameQUANTIFERON TB GOLD
Generic NameNON
Product CodeNCD
Date Received2015-08-12
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCELLESTIS LTD
Manufacturer AddressCHADSTONE, VICTORIA AS


Patients

Patient NumberTreatmentOutcomeDate
10 2015-08-12

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