inforMED
MalfunctionLFZ

ELECSYS CMV IGM

Received Oct 4, 2024 · Event occurred Aug 18, 2024

Report 1823260-2024-02892 · MDR key 20370239

Device

Generic name

Enzyme Linked Immunoabsorbent Assay, Cytomegalovirus

Manufacturer

Roche Diagnostics

Catalog number

07027133190

Lot number

76403201

Product problems

  • False Negative Result
  • False Negative Result

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE SERIAL NUMBER OF THE CUSTOMER'S COBAS E 801 ANALYTICAL UNIT IS (B)(6). THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THE INITIAL REPORTER RECEIVED QUESTIONABLE ELECSYS CMV IGG AND ELECSYS CMV IGM ASSAY RESULTS FROM ONE PATIENT SAMPLE TESTED ON THE COBAS E 801 ANALYTICAL UNIT. THIS MEDWATCH IS FOR THE ELECSYS CMV IGM ASSAY. PLEASE REFER TO THE MEDWATCH WITH A1. PATIENT IDENTIFIER (B)(6) FOR THE ELECSYS CMV IGG ASSAY. PLEASE REFER TO THE ATTACHMENT (B)(6) FOR THE TABLE CONTAINING THE QUESTIONABLE RESULTS.

Additional Manufacturer Narrative

THE INVESTIGATION REVIEWED THE (B)(6) 2024 CALIBRATION DATA AND QC RECOVERIES; THE RESULTS WERE WITHIN SPECIFICATIONS. THE INVESTIGATION REVIEWED THE PATIENT'S RESULTS AND DETERMINED THAT THEY INDICATED THE PATIENT WAS IN AN ACUTE PRIMARY INFECTION IN THE EARLY PHASE. PRODUCT LABELING STATES: "ELECSYS CMV IGM RESULT MESSAGE - BORDERLINE: RE-TEST THE SAMPLE. IF THE RESULT IS STILL INDETERMINATE (BORDERLINE), COLLECT AND TEST A SECOND SAMPLE WITHIN THE FOLLOWING 2 WEEKS." "ELECSYS CMV IGM LIMITATIONS - A NEGATIVE CMV IGM TEST RESULT DOES NOT RULE OUT THE POSSIBILITY OF AN ACUTE INFECTION WITH CYTOMEGALOVIRUS. INDIVIDUALS AT THE EARLY STAGE OF ACUTE INFECTION MAY NOT EXHIBIT DETECTABLE LEVELS OF CMV IGM ANTIBODIES. THE INDIVIDUAL IMMUNE RESPONSE FOLLOWING CMV INFECTION VARIES CONSIDERABLY." THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.