Further evaluation of the customer issue included a review of the complaint text, a review for similar complaints, sensitivity testing, a review of manufacturing records, and a review of labeling.The customer observed (b)(6) results when using architect hiv ag/ab combo reagent, list number 4j27-27, lot number 35779li00.The customer obtained results of (b)(6) when testing a patient sample with the architect hiv combo assay.The controls were not within specification when these results were generated.Viral load testing of the sample gave a (b)(6) result.A new sample of the patient generated a clear non-reactive result.No returns were available for investigation.A review of manufacturing records did not reveal any events or issues that may have impacted the performance of lot 35779li00 in relation to the complaint issue.A review of complaint records for lot 35779li00 did not identify any problems relating to sensitivity or specificity.A retained kit of architect hiv ag/ab combo reagent, lot number 35779li00 was tested and all control values met control specifications.The sensitivity of lot 35779li00 was evaluated by testing two commercially available seroconversion panels.The architect reagent detected the same bleeds as reactive for the seroconversion panels.Based on this data it was shown that the sensitivity performance is acceptable.A review of product labeling concluded that potential false non-reactive, potential false reactive results and controls out of range are sufficiently addressed.All reactive results should be handled according to package insert.Furthermore, the architect hiv ag/ab combo control values must be within the acceptable ranges specified in the control package insert.If a control is out of its specified range, the associated test results are invalid and must be retested.There is not enough information to reasonably suggest a malfunction.Based on the investigation, it has been determined that the architect hiv ag/ab combo reagent lot 35779li00 is performing acceptably.
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