BOND? ORACLE? HER2 IHC SYSTEM N/A TA9145

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,unknow report with the FDA on 2015-10-13 for BOND? ORACLE? HER2 IHC SYSTEM N/A TA9145 manufactured by Leica Biosystems Newcastle Ltd..

Event Text Entries

[28502488] Leica biosystems was informed on 09/14/2015 that 2 batches of bond oracle her2 ihc system were used for testing patient samples. A review of the results and further testing by the healthcare professional demonstrated 3 patients samples may have given a false negative result.
Patient Sequence No: 1, Text Type: D, B5


[39147504] Leica biosystems was informed on (b)(6) 2015, that 2 batches of bond oracle her2 ihc system - product code ta9145 (lots 27595 and 20871) were used for testing patient samples. A review of the results and further testing by healthcare professional demonstrated 3 patients samples may have given a false negative result. Leica biosystems new castle ltd have requested further information to aid in the investigation, to date no information has been received.
Patient Sequence No: 1, Text Type: D, B5


[39160470] On (b)(4) 2016, leica biosystems were given the following information. Images of cell lines from lot 27595 have been sent to the (b)(4) facility to review. Further correspondence is to be sent to the customer to request the in house control slides, patient samples and cell lines for lots under complaint. This will aid the investigation.
Patient Sequence No: 1, Text Type: N, H10


[54909856] The patient and control slides have been returned to the manufacturer. The patient slides demonstrate positive staining which indicates a positive result for her2. The product has performed as intended and indicates no malfunction. The customer confirmed the product lot which was used for the 3 patient slides was 27595. The device had been utilised.
Patient Sequence No: 1, Text Type: N, H10


[54909857] Leica biosystems was informed on 14 september 2015 that 2 batches of bond? Oracle? Her2 ihc system - product code ta9145 (lots 27595 and 20871) were used for testing patient samples. A review of the results and further testing by the healthcare professional demonstrated 3 patients samples may have given a false negative result.
Patient Sequence No: 1, Text Type: D, B5


[39160471] On (b)(4) 2016, leica biosystems were given the following information. Images of cell lines from lot 27595 have been sent to the (b)(4) facility to review. Further correspondence is to be sent to the customer to request the in house control slides, patient samples and cell lines for lots under complaint. This will aid the investigation.
Patient Sequence No: 2, Text Type: N, H10


[39160472] On (b)(4) 2016, leica biosystems were given the following information. Images of cell lines from lot 27595 have been sent to the (b)(4) facility to review. Further correspondence is to be sent to the customer to request the in-house control slides, patient samples and cell lines for lots under complaint. This will aid the investigation.
Patient Sequence No: 3, Text Type: N, H10


MAUDE Entry Details

Report Number3004859032-2015-00002
MDR Report Key5153141
Report SourceCOMPANY REPRESENTATIVE,UNKNOW
Date Received2015-10-13
Date Mfgr Received2015-09-14
Device Manufacturer Date2014-07-24
Date Added to Maude2015-10-15
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 ContactMRS NATALIE HENDERSON
Manufacturer StreetBALLIOL BUSINESS PARK WEST BENTON LANE
Manufacturer CityNEWCASTLE, NE128EW
Manufacturer CountryUK
Manufacturer PostalNE12 8EW
Manufacturer Phone2154736
Manufacturer G1LEICA BIOSYSTEMS NEWCASTLE LTD
Manufacturer StreetBALLIOL BUSINESS PARK WEST BENTON LANE
Manufacturer CityNEWCASTLE, NE128EW
Manufacturer CountryUK
Manufacturer Postal CodeNE12 8EW
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBOND? ORACLE? HER2 IHC SYSTEM
Generic NameBOND? ORACLE? HER2 IHC SYSTEM
Product CodeMVC
Date Received2015-10-13
Model NumberN/A
Catalog NumberTA9145
Lot Number27595
Device Expiration Date2015-07-23
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerLEICA BIOSYSTEMS NEWCASTLE LTD.
Manufacturer AddressBALLIOL BUSINESS PARK WEST BENTON LANE NEWCASTLE UPON TYNE, NE128EW UK NE12 8EW


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-10-13
20 2015-10-13
30 2015-10-13

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