GENETIC SYSTEMS RLAV EIA * 32511

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2006-04-24 for GENETIC SYSTEMS RLAV EIA * 32511 manufactured by Bio-rad Laboratories.

Event Text Entries

[456322] Bio-rad laboratories technical support received a phone call from a customer. Customer stated that they performed a total of 3 runs using the genetic systems rlav eia (an hiv-1 antibody eia) assay along with external positive and negative controls manufactured by blackhawk biosystems inc. 2 of the runs showed the external positive control was negative and 1 run the external positive control was just above the cutoff. Previous to these runs the external positive control had been valid. Technical support requested that the customer fax their data for review. In investigating the issue with the customer, it was determined that the technicians were leaving multiple vials of conjugate concentrate of different lot numbers in their refrigerator and they were not necessarily using correct lot-specific vials when preparing the working conjugate for each run of the genetic systems rlav eia kit. The customer indicated that they have since corrected this practice. Page 6 of the genetic systems rlav eia package insert under precautions for users states: -#2 the only reagents that may be used with different lots of the rlav eia or other genetic systems test kits are the chromogen reagent, chromogen diluent, wash solution concentrate and stopping solution. Do not mix any other reagents from different lots.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3022521-2006-00002
MDR Report Key704517
Report Source05
Date Received2006-04-24
Date of Report2006-04-21
Date of Event2006-03-24
Date Mfgr Received2006-03-24
Date Added to Maude2006-04-28
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactCHRISTOPHER BENTSEN
Manufacturer Street6565 185TH AVENUE NE
Manufacturer CityREDMOND WA 98052
Manufacturer CountryUS
Manufacturer Postal98052
Manufacturer Phone4254981709
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGENETIC SYSTEMS RLAV EIA
Generic NameIVD, EIA
Product CodeLRM
Date Received2006-04-24
Model Number*
Catalog Number32511
Lot Number202YAA-05
ID Number*
Device Expiration Date2006-05-19
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key693602
ManufacturerBIO-RAD LABORATORIES
Manufacturer Address* REDMOND WA 98052 US
Baseline Brand NameGENETIC SYSTEMS RLAV EIA
Baseline Generic NameIVD, EIA
Baseline Model No*
Baseline Catalog No32511
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
10 2006-04-24

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