TIGRIS INSTRUMENT SYS-CD 105118

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-01-10 for TIGRIS INSTRUMENT SYS-CD 105118 manufactured by Hologic Incorporated.

Event Text Entries

[188375940] Final report: on (b)(6) 2019, a customer reported failed runs on the tigris platform (sn: (b)(4)). The customer uploaded the logs from the affected runs and hologic determined that an ad injection issue had occurred causing some invalid samples and runs. In addition, a product application specialist (pas) noted the ad injection issue may also have affected five valid (b)(6) results and advised ts to request the customer to repeat testing of the samples with low s/co (signal/cut off). Repeat testing of the five samples by the customer produced (b)(6) results. The customer informed ts that the initial hpv results from (b)(6) 2019 were likely reported out; however, the customer did not know if any patients had been medically treated. Per risk assessment, the severity associated with a (b)(6) result using the aptima hpv assay is serious. To mitigate this risk, hologic requested the customer to retest the samples in question; the customer retested the samples and made the necessary corrected reports.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024800-2020-00002
MDR Report Key9575752
Report SourceHEALTH PROFESSIONAL
Date Received2020-01-10
Date of Report2020-01-10
Date of Event2019-12-13
Date Added to Maude2020-01-10
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 ContactMR. ABEL SALUTA
Manufacturer Street10210 GENETIC CENTER DRIVE
Manufacturer CitySAN DIEGO 92121
Manufacturer CountryUS
Manufacturer Postal92121
Manufacturer Phone8584108506
Manufacturer G1HOLOGIC INC
Manufacturer Street10210 GENETIC CENTER DRIVE
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal Code92121
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTIGRIS INSTRUMENT SYS-CD
Generic NameIN-VITRO DIAGNOSTIC
Product CodeMZA
Date Received2020-01-10
Catalog Number105118
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerHOLOGIC INCORPORATED
Manufacturer Address10210 GENETIC CENTER DRIVE SAN DIEGO CA 92121 US 92121


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-01-10

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