COBAS AMPLIPREP/COBAS AMPLIOOR HIV-1 MONITOR 03309401018

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 2008-02-08 for COBAS AMPLIPREP/COBAS AMPLIOOR HIV-1 MONITOR 03309401018 manufactured by Roche Molecular Systems, Inc..

Event Text Entries

[791871] A customer using the product was experiencing frequent runs that had the low positive contro (lpc) falling due to being out-of-range low. They developed their own protocol that allowed results from the run to be reported if at least one of each of the control replicates were valid. Product labeling clearly indicates all data generated in the same run as with a failed control is to be considered invalid and the test repeated.
Patient Sequence No: 1, Text Type: D, B5


[7952327] There is no evidence of product malfunction. An internal investigation is underway to determine the cause of the control falling out of range. The customer was advised to follow instructions for use of the test. Specifically the customer was advised that results from invalid runs should not be reported.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2243471-2008-00003
MDR Report Key996410
Report Source05,07
Date Received2008-02-08
Date of Report2008-02-08
Date Mfgr Received2008-01-24
Date Added to Maude2009-05-01
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 FDA0
Event Location0
Manufacturer ContactROBERT PIGOZZI
Manufacturer Street4300 HACEINDA DRIVE
Manufacturer CityPLEASANTON CA 94588
Manufacturer CountryUS
Manufacturer Postal94588
Manufacturer Phone9257308272
Manufacturer G1ROCHE MOLECULAR SYSTEMS, INC.
Manufacturer Street1080 U.S. HWY. 202
Manufacturer CitySOMERVILLE NJ 08876377
Manufacturer CountryUS
Manufacturer Postal Code08876 3771
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOBAS AMPLIPREP/COBAS AMPLIOOR HIV-1 MONITOR
Generic NameHIV-1 NUCLEIC ACID TEST
Product CodeMTL
Date Received2008-02-08
Catalog Number03309401018
Lot NumberJ05180
Device Expiration Date2009-01-30
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerROCHE MOLECULAR SYSTEMS, INC.
Manufacturer AddressBRANCHBURG NJ 08876 US 08876


Patients

Patient NumberTreatmentOutcomeDate
10 2008-02-08

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