AMPLICOR CT/NQ TEST FOR C TRACHOMATIS * 20759392018

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01 report with the FDA on 2006-11-15 for AMPLICOR CT/NQ TEST FOR C TRACHOMATIS * 20759392018 manufactured by Roche Molecular Systems, Inc..

Event Text Entries

[16397782] Customer reported a series of specimens that were negative for chlamydia trachomatic with the roche molecular systems amplicor ct/ng test, but positive with an alternate method.
Patient Sequence No: 1, Text Type: D, B5


[16499456] The customer provided roche molecular systems with samples from the specimens in question. Roche molecular systems, inc. Investigated the customer's allegations and confirmed that the specimens tested negative for chlamydia trachomatis. Further investigation determined that the specimens contained a mutated strain of c. Trachomatis. This mutation resulted in the deletion of approx 350 base pairs from the region within the cryptic plasmid dna covered by the test's primers/and or probe. Rms is continuing our investigation to better understand the prevalence and geographic distribution of the mutated strain. The package insert will also be modified to reflect the rare, but possible occurrence of mutations that could impact the test's performance.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2243471-2006-00013
MDR Report Key782000
Report Source01
Date Received2006-11-15
Date of Report2006-10-13
Date Mfgr Received2006-10-20
Device Manufacturer Date1998-12-01
Date Added to Maude2006-11-20
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 Location0
Manufacturer ContactROBERT PIGOZZI
Manufacturer Street1080 US HIGHWAY 202
Manufacturer CityBRANCHBURG NJ 08876
Manufacturer CountryUS
Manufacturer Postal08876
Manufacturer Phone9257308272
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionNO
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAMPLICOR CT/NQ TEST FOR C TRACHOMATIS
Generic NameIN VITRO DIAGNOSTIC NUCLEIC ACID TEST
Product CodeMKZ
Date Received2006-11-15
Model Number*
Catalog Number20759392018
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key769786
ManufacturerROCHE MOLECULAR SYSTEMS, INC.
Manufacturer Address* BRANCHBURG NJ 08876 US
Baseline Brand NameAMPLICOR CT/NQ TEST FOR C TRACHOMATIC
Baseline Generic NameIN VITRO DIAGNOSTIC NUCLEIC ACID TEST
Baseline Model No*
Baseline Catalog No20759392018
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
10 2006-11-15

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