MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-22 for IMMUNOSCAN CCPLUS RA-96 PLUS manufactured by Euro Diagnostica Ab.
[101139527]
Upon contact with (b)(4), the agency informed euro diagnostica that the immunoscan ccplus kits were purchased, in total (b)(4) kits over the last 3-4 months, from (b)(4). The kits were only supplied to (b)(6). (b)(4) said that neither (b)(6) nor (b)(4) had any stock left of these immunoscan ccplus kits from (b)(4)\. To the best of our knowledge, this is the only euro diagnostica product counterfeit.
Patient Sequence No: 1, Text Type: N, H10
[101139528]
During a retrospective review, performed in jan 2018, of complaints filed by euro diagnostica in 2015-2016 to assess the complaints for mdr and/or recall reportability, one complaint (b)(4) was identified as requiring remediation. A mdr is therefore submitted to the fda retrospectively for the complaint. It came to euro diagnostica's attention on (b)(4) 2016, from (b)(4), an (b)(4) distributor, that an euro diagnostica product end-user, (b)(6), obtained immunoscan ccplus kits with falsified labeling. On (b)(4) 2016, euro diagnostica's qa dept. Was informed of the matter, and could confirm that the labels were not genuine euro diagnostica labels. On the kit box, two labels had been placed: - one label, placed on the short side of the kit box, stated euro diagnostica as the manufacturer and (b)(4) as importer, with kit manufacturing date (mfd) 2015-04-16. - the other label, placed on the long side of the kit box, was very similar to euro diagnostica's kit box label for immunoscan ccplus with a genuine immunoscan ccplus kit lot (ss 1337) and the correct expiry date (2016-08-18) for that lot. The false label could be recognized on several items, e. G. Lacking symbols, wrong symbols and having the spelling mistake of (b)(4) as "(b)(4)" in the bottom left corner. On genuine euro diagnostica immunoscan ccplus kit boxes, only one label is present on the kit box long side. (b)(4) is a former euro diagnostica distributor from (b)(4). Euro diagnsotica's last immunoscan ccplus shipment to (b)(4) was on lot rs 2432 (exp. Date 2015-12-10), on (b)(6) 2014. The immunoscan ccplus kit lot ss 1337 was never sold by euro diagnostica to (b)(4). Euro diagnostica received information that the end-user obtained the immunoscan ccplus kits from a subdealer, (b)(4). Upon contact, (b)(4) informed euro diagnostica that the kits were purchased, in total 3-4 kits over the last 3-4 months, from (b)(4). The kits were only supplied to (b)(6). (b)(4) said that neither (b)(6) nor (b)(4) had any stock left of these immunoscan ccplus kits from (b)(4). (b)(4) will, when going forward, purchase the product from euro diagnostica's distributor, (b)(4). Euro diagnostica contacted (b)(6) to inform them that no immunoscan ccplus kits from (b)(4) were to be used in patient diagnosis. The kit box was never returned to euro diagnostica. Nor were pictures obtained of the kit content. It could therefore not be determined if the kit was an expired euro diagnostica kit with new, falsified, labels on it, or if the kit components were falsified as well. Our assessment is that, most likely, the kit is from an expired immunoscan ccplus kit lot which was relabeled and sold by (b)(4). (b)(4)'s managing director denies any wrongdoing. Formal letters have been sent to (b)(4) and the (b)(4) health authority (b)(4). No reply was obtained from either party. Using expired immunoscan ccplus could lead to an increased risk of obtaining false negative test results.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9616003-2018-00003 |
| MDR Report Key | 7288168 |
| Date Received | 2018-02-22 |
| Date of Report | 2018-02-21 |
| Date of Event | 2016-02-26 |
| Date Mfgr Received | 2016-02-26 |
| Device Manufacturer Date | 2015-04-16 |
| Date Added to Maude | 2018-02-22 |
| 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 | MS NINA CARLQVIST |
| Manufacturer Street | P. O. BOX 50117 LUNDAVAGEN 151 |
| Manufacturer City | MALMO, 20211 |
| Manufacturer Country | SW |
| Manufacturer Postal | 20211 |
| Manufacturer G1 | EURO DIAGNOSTICA AB |
| Manufacturer Street | P. O. BOX 50117 LUNDAVAGEN 151 |
| Manufacturer City | MALMO, 20211 |
| Manufacturer Country | SW |
| Manufacturer Postal Code | 20211 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | IMMUNOSCAN CCPLUS |
| Generic Name | CCPLUS |
| Product Code | NHX |
| Date Received | 2018-02-22 |
| Catalog Number | RA-96 PLUS |
| Lot Number | SS 1337 |
| Device Expiration Date | 2016-08-18 |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | EURO DIAGNOSTICA AB |
| Manufacturer Address | P. O. BOX 50117 LUNDAVAGEN 151 MALMO, 20211 SW 20211 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-02-22 |