AMPLICOR CT/NG TEST 20759392018

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,07 report with the FDA on 2006-09-28 for AMPLICOR CT/NG TEST 20759392018 manufactured by Roche Molecular Systems, Inc..

Event Text Entries

[640489] In june 2006, roche molecular systems, inc. Provided a product bulletin clarifying the use of the gold plated heat block and the aluminum heat block on the applied biosystems geneamp pcr system 9700 thermal cycler. In response to the the bulletin, the customer reported they had been using the aluminum heat block when performing the amplicor ct/ng test. The aluminum heat block will not accept a maximum ramp speed which is required to perform the amplicor ct/ng test. The current amplicor ct/ng test package insert describes the setting of the temperature ramp speed to maximum but does not identify the heat block to be used.
Patient Sequence No: 1, Text Type: D, B5


[7904144] The package insert that accompanies the amplicor ct/ng test states in the instructions for use section, part d amplification, step 3 "during run set-up, set the reaction volume to 100ul by first changing the ramp speed from the 9600 mode to the max mode. To do this, cursor down to ramp speed and select max". Applied biosystems geneamp pcr system 9700 thermal cyclers with the aluminum heat block will not accept this setting. Only thermal cyclers equipped with the gold-plated heat block will accept the ramp speed setting of max. The purpose of providing the product bulletin was to provide additional information on this setting requirement. Add'l lot # g14950.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2243471-2006-00011
MDR Report Key873321
Report Source05,07
Date Received2006-09-28
Date of Report2006-09-13
Date Mfgr Received2006-09-15
Date Added to Maude2007-07-02
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 Location0
Manufacturer ContactROBERT PIGOZZI
Manufacturer Street1080 US HIGHWAY 202
Manufacturer CityBRANCHBURG NJ 08876
Manufacturer CountryUS
Manufacturer Postal08876
Manufacturer Phone9257308272
Manufacturer G1ROCHE MOLECULAR SYSTEMS, INC.
Manufacturer Street1080 US HIGHWAY 202
Manufacturer CitySOMERSVILLE NJ 08876377
Manufacturer CountryUS
Manufacturer Postal Code08876 3771
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAMPLICOR CT/NG TEST
Generic NameIN VITRO DIAGNOSTIC NUCLEIC ACID TEST
Product CodeMKZ
Date Received2006-09-28
Model NumberNA
Catalog Number20759392018
Lot NumberH02039
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key853691
ManufacturerROCHE MOLECULAR SYSTEMS, INC.
Manufacturer Address* BRANCHBURG NJ 08876 US


Patients

Patient NumberTreatmentOutcomeDate
10 2006-09-28

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