MAUDE MDR 7476873

MDR report key
7476873
Report number
3002769706-2018-00061
Event key
0
Event type
3
Date received
2018-05-01
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
MS. TIFFANY HALL
Address
100 RODOLPHE STREET DURHAM NC 27712 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1VIDAS? VARICELLA IGGVIDAS? VARICELLA IGGBIOMERIEUX SALFY302171006161020R *

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-05-010

Event Narratives#

D

Patient 1

A CUSTOMER IN THE (B)(6) NOTIFIED BIOM?RIEUX OF DISCREPANT RESULTS ASSOCIATED WITH VIDAS? VARICELLA (IGG) (REFERENCE 30217). THE CUSTOMER REPORTED RUNNING THREE (3) PATIENT SAMPLES USING A NEW LOT OF PRODUCT AND THE RESULTS WERE: 1 NEGATIVE, 1 EQUIVOCAL AND 1 POSITIVE. THE RESULTS FOR SAMPLE NO. (B)(4) DURING THE WEEK OF (B)(6) 2018 ON THE OLD LOT WERE REPORTED AS 3.18. YESTERDAY ((B)(6) 2018) USING NEW LOT THE RESULT WAS 3.92 AND 3.25 WHILE RUNNING THE SAMPLE ON THE OLD LOT. THE RESULTS FOR SAMPLE NO. (B)(4) DURING THE WEEK OF (B)(6) 2018 ON THE OLD LOT WERE REPORTED AS 0.12. YESTERDAY ((B)(6) 2018) USING NEW LOT THE RESULT WAS 0.14 AND 0.13 WHILE RUNNING THE SAMPLE ON THE OLD LOT. THE RESULTS FOR SAMPLE NO. 184027728 DURING THE WEEK OF 26MAR2018 ON THE OLD LOT WERE REPORTED AS 0.80. YESTERDAY (04APR2018) USING NEW LOT THE RESULT WAS 1.05 AND 0.91 WHILE RUNNING THE SAMPLE ON THE OLD LOT. THE CUSTOMER IS CONCERNED WITH RESULTS FOR SAMPLE (B)(4). THE SAMPLE WAS REPORTED LAST WEEK AS AN EQUIVOCAL RESULT WITH A VALUE OF 0.80. YESTERDAY ((B)(6) 2018) ON THE NEW LOT THE RESULTS OBTAINED WERE 1.05. THE CUSTOMER IS CONCERNED THAT EQUIVOCAL RESULTS COULD BE REPORTED AS POSITIVES USING THE NEW LOT WHEN COMPARED TO THE PREVIOUS LOTS. THE CUSTOMER REPORTED THESE DISCREPANT RESULTS LEAD TO A DELAY OF GREATER THAN 24 HOURS. THERE IS NO KNOWN IMPACT TO THE PATIENT DUE TO THE DISCREPANT AND DELAYED RESULTS.