LIFECODES HLA-A ERES TYPING KITS 628459-50 628913

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2019-03-12 for LIFECODES HLA-A ERES TYPING KITS 628459-50 628913 manufactured by Immucor Gti Diagnostics, Inc..

Event Text Entries

[142504285] On 18 february 2019 mm; costumer contacted tc with concerns regarding unexpected false positive reactions on probe 348 while using lifecodes hla-a eres typing lot 3006499. They indicated the positive reaction of probe 348 in some samples were way above 100% when compared to the cut-off. Costumer provided the csv file ((b)(4)) of a run performed on (b)(6) 2019 which contained samples (b)(6) as examples and also a screenshot of the historic graph of probe 348. They confirmed the dna quality of the samples was good and it was run using a half volume protocol for both the pcr and the hybridization with no probe heating on the recommended 9700 thermocycler. The run was reviewed and accepted as technically valid with the expected probes counts and consensus probes mfis. The match type of sample (b)(6) was "exact" with rare a*03:274, a*29:73 assignment with probe 348 positive and within 162% from the cut-off. The same was previously typed a*03:02, a*29:02 which can only obtained by editing probe 347 which was with 10% of the cut-off and probe 348. The match type of sample (b)(6) was "review probes" with rare a*03:103, a*31:01 assignment with suggestion to change probe 348 to negative despite it was clear positive and bout 259 % of the cut-off. The same was previously typed a*03:01, a*31:02 which can only be obtained by editing probe 348 and probe 321. The screenshot of probe 348 showed significant number of edits by the costumer. Costumer was advised to re run the samples using the ifu standard protocol with probe heating. Costumer also asked to confirm if the what is the method used to previously typed samples (b)(6). Costumer confirmed they reported samples typed by lifecodes hla-a eres typing lot 3006499 with probe 348 editing. On 04 march 2019 mm; costumer confirmed they still did not retest the two samples using the standard ifu protocol they indicated the two samples were previously typed and reported by lifecodes hla-a eres kit using their half volume protocol. They also highlighted that there were no need to edit probe 348 in the two samples when tested for the first time (they asked to provide the csv file for review). Costumer specified that they have no concern about wrong types reported for samples (b)(6) using lifecodes hla-a eres typing lot 3006499 as they was no discrepancy between the two low resolution assignments obtained using lifecodes hla-a eres typing kits. On 11 march 2019 mm; costumer contacted tc today confirming they are going to retest samples (b)(6) using lifecodes hla-a eres typing kit lot 3006499 today as previously agreed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2183608-2019-00002
MDR Report Key8413908
Report SourceUSER FACILITY
Date Received2019-03-12
Date of Report2019-02-18
Date of Event2019-02-14
Date Mfgr Received2019-02-18
Date Added to Maude2019-03-12
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 Location3
Manufacturer ContactMR. BOB VOIGTS
Manufacturer Street20925 CROSSROADS CIRCLE
Manufacturer CityWAUKESHA WI 53186
Manufacturer CountryUS
Manufacturer Postal53186
Manufacturer Phone2627541026
Manufacturer G1IMMUCOR GTI DIAGNOSTICS, INC.
Manufacturer Street20925 CROSSROADS CIRCLE
Manufacturer CityWAUKESHA WI 53186
Manufacturer CountryUS
Manufacturer Postal Code53186
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLIFECODES HLA-A ERES TYPING KITS
Generic NameHLA-A ERES TYPING KITS
Product CodeMZI
Date Received2019-03-12
Model Number628459-50
Catalog Number628913
Lot Number3006499
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerIMMUCOR GTI DIAGNOSTICS, INC.
Manufacturer Address20925 CROSSROADS CIRCLE WAUKESHA WI 53186 US 53186


Patients

Patient NumberTreatmentOutcomeDate
10 2019-03-12

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