inforMED
MalfunctionNQM

AMNISURE ROM TEST

Received Feb 19, 2020 · Event occurred Nov 29, 2019

Report 1122376-2020-00002 · MDR key 9730230

Device

Generic name

Amnisure Rom Test

Model number

FMRT-1

Catalog number

FMRT-1-25-US

Lot number

56307021

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

ON (B)(6) 2019 CUSTOMER REPORTED UNEXPECTED NEGATIVE AMNISURE RESULTS FOR 3 PATIENTS WITH NO ADVERSE OUTCOMES. ADDITIONAL INFORMATION AND RETURN PRODUCT WAS REQUESTED FROM CUSTOMER. FOLLOW UP INFORMATION WAS RECEIVED 1/28/2020. THE MALFUNCTION WAS NOT CONFIRMED ON RETURNED MATERIAL, HOWEVER WAS OBSERVED IN RETAINED PRODUCT TESTING AT A RATE WITHIN THE LABELED PERFORMANCE CHARACTERISTICS OF THE PRODUCT. NO OTHER CUSTOMERS HAVE REPORTED ISSUES WITH THIS LOT. QIAGEN'S OVERALL EVALUATION DOES NOT INDICATE A SYSTEMIC PROBLEM WITH THIS LOT.

Description of Event or Problem

A CUSTOMER REPORTED PATIENT IN LABOR, GROSSLY RUPTURED, FERNING AND POOLING POSITIVE, AND AMNISURE NEGATIVE. PATIENT ADMITTED AND SUCCESSFULLY DELIVERED.