MAUDE MDR 5534898

MDR report key
5534898
Report number
1823260-2016-00376
Event key
0
Event type
3
Date of event
2015-10-26
Date received
2016-03-30
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
NA MICHAEL LESLIE
Address
9115 HAGUE ROAD NA INDIANAPOLIS IN 46250 US
Phone
317-317-3175
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1CMV IGM, IGM ANTIBODIES TO CYTOMEGALOVIRUSENZYME LINKED IMMUNOABSORBENT ASSAY, CYTOMEGALOVIRUSROCHE DIAGNOSTICSLFZNA04784618160182962R Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12016-03-300

Event Narratives#

N

Patient 1

THIS EVENT OCCURRED IN (B)(6).

D

Patient 1

THE CUSTOMER QUESTIONED RESULTS FOR 21 PATIENTS TESTED FOR IGM ANTIBODIES TO CYTOMEGALOVIRUS (CMV IGM) AND IGG ANTIBODIES TO CYTOMEGALOVIRUS (CMV IGG). ERRONEOUS CMV IGM OR CMV IGG RESULTS WERE IDENTIFIED FOR 14 PATIENTS. THE ERRONEOUS RESULTS FOR WERE REPORTED OUTSIDE OF THE LABORATORY. THIS MEDWATCH WILL COVER CMV IGM. REFER TO MEDWATCH WITH PATIENT IDENTIFIER (B)(6) FOR INFORMATION ON THE CMV IGG ERRONEOUS RESULTS. PATIENT 1 INITIAL CMV IGM RESULT FROM THE E601 ANALYZER WAS 0.386 COI (NEGATIVE). THE REPEAT RESULT FROM THE MINI VIDAS ANALYZER WAS 1.88 (POSITIVE) AND THE REPEAT RESULT FROM THE ARCHITECT I 1000 WAS 1.93 (POSITIVE). PATIENT 1 INITIAL CMV IGG RESULT FROM THE E601 ANALYZER WAS

N

Patient 1

THE SAMPLES FOR PATIENT 1 FROM (B)(6) 2015 AND (B)(6) 2016 WERE SUBMITTED FOR INVESTIGATION. THE RESULTS FROM THE CUSTOMER WERE CONFIRMED DURING THE INVESTIGATION. THE SAMPLES WERE TESTED BY THE ROCHE METHOD AND THE MIKROGEN RECOMLINE METHOD. THE ROCHE RESULTS AND RECOMLINE RESULTS WERE COMPARABLE. BOTH THE ROCHE ASSAY AND THE RECOMLINE ASSAYS DO NOT DETECT SIGNIFICANT (B)(6) SPECIFIC IGM TITERS IN THE SAMPLES. FOR THIS PATIENT, A SEROCONVERSION FOR IGM WAS NOT DETECTED. MISSING THE IGM SEROCONVERSION OF A PATIENT WITH 2 INDEPENDENT ASSAYS AT THE SAME TIME IS RARE BUT CANNOT BE EXCLUDED FOR THIS PATIENT. THE SAMPLE FOR PATIENT 2 FROM (B)(6) 2016 WAS SUBMITTED FOR INVESTIGATION. THE SAMPLES WERE TESTED BY THE ROCHE METHOD AND THE MIKROGEN RECOMLINE METHOD. THE CUSTOMER RESULTS COULD NOT BE CONFIRMED DURING THE INVESTIGATION. (B)(6) IGG ANTIBODIES WERE DETECTED IN BOTH THE ROCHE CMV IGG ASSAY AND THE RECOMLINE CMV IGG ASSAY AND FOUND TO BE OF HIGH AVIDITY. THE HIGH AVIDITY OF THE DETECTED IGG ANTIBODIES INDICATES A REMOTE INFECTION WITH (B)(6). WHEN SAMPLES ARE OBTAINED DURING THE DECLINING PHASE OF THE IGM RESPONSE, ASSAYS FROM DIFFERENT MANUFACTURERS ARE LIKELY TO PRODUCE DISCREPANT RESULTS; HOWEVER, A RELIABLE DIAGNOSIS OF THE (B)(6) STATUS CAN BE OBTAINED BY ASSESSING THE IGG STATUS IN COMBINATION WITH THE IGG AVIDITY. A GENERAL DECLINE OF THE (B)(6) IGM RESULTS WAS NOT CONFIRMED. INTERNAL QUALITY ASSURANCE PRIOR TO PRODUCT RELEASE AND REAL TIME MONITORING FOLLOWING PRODUCT RELEASE GUARANTEE CONSTANT PERFORMANCE. COMPARATIVE MEASUREMENTS MINIMIZE PERFORMANCE VARIANCE BETWEEN DIFFERENT LOTS.

N

Patient 1