inforMED
MalfunctionLSK

HYBRID CAPTURE 2 RAPID CAPTURE SYSTEM

Received Sep 13, 2002 · Event occurred Jul 3, 2002

Report 1122376-2002-00003 · MDR key 417267

Device

Generic name

Robotic Plate Processor For Hc2 Ct/gc Dna Test

Manufacturer

Digene Corp.

Model number

9000192

Catalog number

6000-3101

Lot number

NA

Product problems

  • Air Leak
  • Bubble(s)
  • Inaccurate Delivery

Patient

NA

  • No Patient Involvement

Narrative

Description of Event or Problem

THE HYBRID CAPTURE 2 (HC2) RAPID CAPTURE SYSTEM (RCS) IS A SEMI-AUTOMATED INSTRUMENT APPLICATION OF THE HC2 CT/GC, CT-ID AND GC-ID DNA TESTS. THE APPLICATION USES A ROBOTIC MICROPLATE PROCESSOR THAT AUTOMATES THE PIPETTING AND MICROPLATE HANDLING STEPS OF THE HC2 TESTS. RCS UNIT 2755 WAS RECEIVED MARCH 25, 2002. AT THE CONCLUSION OF ROUTINE IN-HOUSE TESTING OF THE NEW UNIT IN 2002, IG NOTED THE "RECURRING PROBLEM OF SAMPLES NOT BEING TRANSFERRED" DURING TESTING OF THIS UNIT. ONE SPECIMEN DID NOT TRANSFER. TWO SPECIMENS WERE PARTIALLY TRANSFERRED. THE PRESENCE OF "AIR BUBBLES" WAS MENTIONED IN THE CONTEXT OF THE MISSED AND PARTIAL TRANSFERS. SIMULATED SPECIMENS WERE IN USE FOR INSTRUMENT ACCEPTANCE TESTING. NO PATIENT SPECIMENS WERE INVOLVED IN THE REPORT. THE DECISION TO FILE AN ADVERSE EVENT REPORT WAS NOT BASED ON THIS INDIVIDUAL EVENT, BU;T ON A PRODUCT PERFORMANCE INVESTIGATION INITIATED IN RESPONSE TO THREE REPORTS FROM DIGENE EMPLOYEES. A CONSOLIDATED INVESTIGATION CONCLUDED THAT THE PRESENCE OF AN AIR POCKET, ALSO REFERRED TO AS AIR BUBBLES, IN A CERVICAL BRUSH SPECIMEN MAY CAUSE A MISSED OR PARTIAL SPECIMEN TRANSFER.

Remedial action

  • Modification/Adjustment