MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-11-15 for COBAS TAQSCREEN MPX TEST, V2.0 CE-IVD 05969492190 manufactured by Roche Molecular Systems, Inc..
[93452024]
The investigation into this issue is currently on-going. The outcome of this investigation will be communicated through a follow-up report. The second cobas taqscreen mpx v2. 0 ce-ivd kit lot (lot 219653) used at the site has an expiration date of 31-jan-2018 the udi for the cobas taqscreen mpx v2. 0 ce-ivd is (b)(4). The material number for the cobas taqsreen mpx test, v2. 0 us-ivd is: (b)(4). The udi for the cobas taqscreen mpx test, v2. 0 us-ivd is: (b)(4). The product common name was truncated and the complete name is (b)(6). (b)(4).
Patient Sequence No: 1, Text Type: N, H10
[93452025]
A customer, (b)(6) alleged a (b)(6) result during use of the cobas? Taqscreen mpx version 2. 0 test. (b)(6). There is no allegation of harm/injury or death associated with this case. Blood was not released and the blood bag was discarded.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2243471-2017-00023 |
| MDR Report Key | 7032655 |
| Date Received | 2017-11-15 |
| Date of Report | 2018-02-23 |
| Date of Event | 2017-10-07 |
| Date Mfgr Received | 2017-10-18 |
| Date Added to Maude | 2017-11-15 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | NA STACIE-ANN CREIGHTON |
| Manufacturer Street | 1080 US HWY 202 S NA |
| Manufacturer City | BRANCHBURG NJ 08876 |
| Manufacturer Country | US |
| Manufacturer Postal | 08876 |
| Manufacturer Phone | 9082537112 |
| Manufacturer G1 | NA |
| Manufacturer Street | NA NA |
| Manufacturer City | NA |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | NA |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | COBAS TAQSCREEN MPX TEST, V2.0 CE-IVD |
| Generic Name | HUMAN IMMUNODEFICIENCY VIRUS TYPE 1 (HIV-1) GROUP M AND O RNA, HIV-2 RNA, HCV |
| Product Code | MZP |
| Date Received | 2017-11-15 |
| Model Number | NA |
| Catalog Number | 05969492190 |
| Lot Number | 210560 |
| ID Number | NA |
| Device Expiration Date | 2017-10-31 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | * |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ROCHE MOLECULAR SYSTEMS, INC. |
| Manufacturer Address | 1080 US HIGHWAY 202 SOUTH NA BRANCHBURG NJ 08876 US 08876 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-11-15 |