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MalfunctionLSL

APTIMA COMBO 2 ASSAY

Received Nov 5, 2024 · Event occurred Oct 7, 2024

Report 2024800-2024-00027 · MDR key 20615478

Device

Generic name

Dna-reagents, Neisseria

Manufacturer

Hologic, Inc.

Catalog number

302661

Lot number

899831 & 901175

Product problems

  • Imprecise or Erratic Results
  • Imprecise or Erratic Results

Patient

NA · Unknown

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

Narrative

Description of Event or Problem

ON OCTOBER 10TH 2024, A CUSTOMER REPORTED THREE SUSPECTED FALSE POSITIVE GC RESULTS USING THE APTIMA COMBO 2 ASSAY. SAMPLES WERE TESTED IN WORKLIST: 002536-20240916-45 ((B)(6)) & 002536-20241003-12 (24M113251 & 24M113075), USING ASSAY LOTS 899831 AND 901175 ON PANTHER INSTRUMENT SERIAL NUMBER (B)(6) AND TESTED POSITIVE FOR GC. CUSTOMER NOTED THE RESULTS WERE QUESTIONED BY THE PHYSICIAN: TWO SAMPLES CAME FROM PREGNANT PATIENTS AND THE OTHER SAMPLE CAME FROM A PATIENT WHOSE SPOUSE TESTED NEGATIVE FOR GC. ONE OF THE PATIENTS (SAMPLE ID ((B)(6)) RECEIVED TREATMENT BASED ON THE POSITIVE GC RESULT AND NO ADDITIONAL TESTING WAS PERFORMED. NO NEGATIVE IMPACTS FROM THE TREATMENT WERE REPORTED. SAMPLES FROM THE OTHER TWO PATIENTS WERE RECOLLECTED RESULTED GC NEGATIVE. HOLOGIC HAS NOT BEEN INFORMED OF ANY ADVERSE PATIENT OUTCOMES RELATED TO THIS SITUATION.

Additional Manufacturer Narrative

HOLOGIC TECHNICAL SUPPORT (TS) REVIEWED THE LOGS PROVIDED BY THE CUSTOMER AND NOTED NO HARDWARE, SOFTWARE, OR KIT-RELATED ISSUES. TS NOTED THAT ALL THREE SAMPLES HAD TYPICAL KINETICS AND DID NOT FIND ANY INDICATION OF CONTAMINATION. TS NOTED THAT THE SAMPLES WERE EITHER MISHANDLED OR WERE TRUE LOW-TARGET SAMPLES. HOLOGIC PRODUCT APPLICATION SPECIALIST (PAS) PROVIDED A SECONDARY REVIEW AND CONFIRMED THERE WERE NO HARDWARE OR REAGENT PREPARATION ISSUES. PAS AGREED THAT THE SAMPLES WERE EITHER MISHANDLED OR WERE LOW-TARGET. HOLOGIC PERFORMED A RISK ASSESSMENT AND NOTED NO PRODUCT IMPACT. HOLOGIC HAS NOT BEEN INFORMED OF ANY ADVERSE PATIENT OUTCOMES RELATED TO THIS SITUATION.