inforMED
MalfunctionOQO

SIMPLEXA HSV 1 & 2 DIRECT, SIMPLEXA HSV 1 & 2 POSITIVE CONTROL PACK

Received Mar 10, 2016 · Event occurred Jan 11, 2016

Report 2023365-2016-00031 · MDR key 5493882

Device

Generic name

Herpes Simplex Virus Nucleic Acid Amplification Assay

Manufacturer

Focus Diagnostics

Model number

MOL2150

Catalog number

NA

Lot number

29813

Product problems

  • Incorrect Or Inadequate Test Results
  • Incorrect Or Inadequate Test Results

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

FOCUS DIAGNOSTICS HAS RECEIVED A TOTAL OF 34 COMPLAINTS FROM 20 CUSTOMERS FOR EARLY CYCLE THRESHOLD (CT) ISSUES WITH THE DIRECT AMPLIFICATION DISC (DAD) (MOL1455, MOL1451, AND MOL 1452) WHILE PERFORMING THE (B)(4) DIRECT ASSAY. THIS ERROR MAY RESULT IN A (B)(6) RESULT, AND ERROR CODE(S) GIVING AN INVALID RUN. EARLY INTERNAL TESTING REPRODUCED THE EARLY CT THRESHOLD; HOWEVER, THESE EARLY CT WERE PRODUCED ONLY WHEN THE DAD WAS USED AFTER A PREVIOUS PARTIAL RUN. THE FALSE RESULT WAS NOT REPORTED TO THE DOCTOR. THERE WAS NO PATIENT INVOLVEMENT. A VOLUNTARY RECALL HAS BEEN PERFORMED RELATED TO THE REPORTED LOT. AS OF (B)(6) 2016, THERE HAS BEEN NO REPORT OF PATIENT INJURY OR DEATH.

Remedial action

  • Notification