COBAS MPX TEST, CE-IVD 06997708190

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-15 for COBAS MPX TEST, CE-IVD 06997708190 manufactured by Roche Molecular Systems, Inc..

Event Text Entries

[108400541] An investigation was performed and no kit issues were identified relating to (b)(6) results. Based on the results generated for this donor, the donor was (b)(6) infected in (b)(6) with a low level (b)(6) infection, which may not consistently be detected by the cobas mpx test, where serology was negative due to the lack of seroconversion (window period). The cobas mpx test, ce ivd instructions for use indicates "detection of hiv-1 group m rna, hiv-1 group o rna, hiv-2 rna, hcv rna, and hbv dna is dependent on the number of virus particles present in the sample and may be affected by sample collection, storage and handling, patient factors (i. E. , age, presence of symptoms), and/or stage of infection and pool size. " (b)(6). The udi for the cobas mpx test, ce-ivd is (b)(4). The material number for the cobas mpx test, 96t, us-ivd is (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[108400542] A (b)(6) customer alleged the generation of a (b)(6) sample tested with the cobas mpx test for use on the cobas 6800/8800 system ((b)(6) 2018). Blood was released after (b)(6) 2018 testing results as the resolved cobas mpx test and serology results were (b)(6). Subsequent testing ((b)(6) 2018) for the same donor (new donation) generated (b)(6) results with the cobas mpx test and serology. There is no indication of harm or injury to any of the recipients who may have received the blood donations.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2243471-2018-00008
MDR Report Key7516448
Date Received2018-05-15
Date of Report2018-05-15
Date of Event2018-01-23
Date Mfgr Received2018-04-19
Date Added to Maude2018-05-15
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 STACIE-ANN CREIGHTON
Manufacturer Street1080 US HWY 202 S NA
Manufacturer CityBRANCHBURG NJ 08876
Manufacturer CountryUS
Manufacturer Postal08876
Manufacturer Phone9082537112
Manufacturer G1NA
Manufacturer StreetNA NA
Manufacturer CityNA
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report0

Device Details

Brand NameCOBAS MPX TEST, CE-IVD
Generic NameASSAY, HYB AND/OR NUCLEIC ACID AMP FOR DETECTION OF HCV RNA, HIV RNA
Product CodeMTL
Date Received2018-05-15
Model NumberNA
Catalog Number06997708190
Lot Number242567
ID NumberNA
Device Expiration Date2019-01-31
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerROCHE MOLECULAR SYSTEMS, INC.
Manufacturer Address1080 US HIGHWAY 202 SOUTH NA BRANCHBURG NJ 08876 US 08876


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-05-15

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