COBAS? TAQSCREEN MPX TEST, VERSION 2.0 CE-IVD TEST 05969492190

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2017-01-11 for COBAS? TAQSCREEN MPX TEST, VERSION 2.0 CE-IVD TEST 05969492190 manufactured by Roche Molecular Systems.

Event Text Entries

[64519581] Through the customer? S internal investigation, the donor contains a low (b)(6) viral load. Roche has determined that there is no product malfunction as the donor sample contains a low concentration of (b)(6) that would not be reproducibly detected as it is below the limit of detection of the cobas taqscreen mpx test, v2. 0 ce-ivd. There is no indication that this situation led to death or serious injury. The customer continues to investigate the situation. If additional information becomes available that indicates death or serious injury, a supplemental medical device report will be filed. The udi for cobas taqscreen mpx test, v2. 0 ce-ivd is (b)(4). In outcomes attributed to adverse events, "other serious" was selected. No serious injury or harm has been reported to date and an investigation is on-going by the customer site. No other selections were appropriate for this situation. (b)(4). Roche has determined that there is no product malfunction as the donor sample contains a low concentration of (b)(6) that would not be reproducibly detected as it is near or below the limit of detection of the cobas taqscreen mpx test, v2. 0 ce-ivd test.
Patient Sequence No: 1, Text Type: N, H10


[64519582] A hospital in lithuania alleged false non-reactive results for a donor when tested with the cobas taqscreen mpx test, v2. 0 ce-ivd in a pool of 6. Donations from this donor were transfused into recipients prior to recent (b)(6) reactive results obtained in (b)(6) 2016 using the cobas taqscreen mpx test, v2. 0 ce-ivd (pools of 6 and 1). Through the customer? S internal investigation, the donor contains a low (b)(6) viral load. Roche has determined that there is no product malfunction as the donor sample contains a low concentration of (b)(6) that would not be reproducibly detected as it is near or below the limit of detection of the cobas taqscreen mpx test, v2. 0 ce-ivd test. There is no indication that this situation led to death or serious injury. The customer continues to investigate the situation. If additional information becomes available that indicates death or serious injury, a supplemental medical device report will be filed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2243471-2017-00001
MDR Report Key6242148
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2017-01-11
Date of Report2017-01-11
Date of Event2016-10-18
Date Mfgr Received2016-12-12
Date Added to Maude2017-01-11
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 ContactNA TIMOTHY BLAIR
Manufacturer Street1080 US HWY 202 S NA
Manufacturer CityBRANCHBURG NJ 08876
Manufacturer CountryUS
Manufacturer Postal08876
Manufacturer Phone9082537918
Manufacturer G1NA
Manufacturer StreetNA NA
Manufacturer CityNA
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameCOBAS? TAQSCREEN MPX TEST, VERSION 2.0 CE-IVD TEST
Generic NameNA
Product CodeMZP
Date Received2017-01-11
Model NumberNA
Catalog Number05969492190
Lot Number219650
ID NumberNA
Device Expiration Date2017-11-30
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerROCHE MOLECULAR SYSTEMS
Manufacturer Address1080 US HWY 202 S NA BRANCHBURG NJ 08876 US 08876


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-01-11

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