Safety Alert for Trade name: Xpert GBS. Technical Name: Streptococcus. ANVISA registration number: 81062710019. Risk class: III. Affected model: Kit with 10 tests (cartridges with integrated reaction tubes). Serial numbers affected: 1. 1000038939; 2,1000047891; 3,1000050712; 4,100,005,480; 5,1000064922.

According to Agência Nacional de Vigilância Sanitária (ANVISA), this safety alert involved a device in Brazil that was produced by Cepheid Brasil Importação, Exportação e Comércio de Produtos de Diagnósticos Ltda; Cepheid.

What is this?

Alerts provide important information and recommendations about products. Even though an alert has been issued, it does not necessarily mean a product is considered to be unsafe. Safety Alerts, addressed to health workers and users, may include recalls. They can be written by manufacturers, but also by health officials.

Learn more about the data here
  • Type of Event
    Safety alert
  • Event ID
    2437
  • Date
    2017-12-20
  • Event Country
  • Event Source
    ANVISA
  • Event Source URL
  • Notes / Alerts
    Brazilian data is current through June 2018. All of the data comes from Anvisa, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of data from the U.S. and Brazil.
  • Extra notes in the data
    The proposed action to address device failures is to send customers an Important Product Notice letter, which instructs customers to repeat the test after an ERRO - E2008 result. Customer orientation is to follow revision D of Xpert GB 300-8907 Instructions for Use - Reasons for Repetition of the Test or Starting Alternate Procedures, which provides three (3) retest options. Cepheid also recommends that laboratory personnel in the vicinity of the test be alert for any errors that may occur. This will save time in case you need to repeat the test. If you wish to notify technical complaints and adverse events use the following channels: Notivisa: Notices of adverse events (AE) and technical complaints (QT) for products subject to Sanitary Surveillance should be made through the NOTIVISA System. To access the System, you must register and select the Health Professional option, if you are a liberal professional or the Institution / Entity option, if you are a professional of an institution / entity. Technovigilance System: Patient or citizen can notify through the Technovigilance System / SISTEC access through the link Additional information: - Date of identification of the problem by the company: 11/12/2017 - Date of notification notice to Anvisa: 12/20/2017 The company that owns the affected product is responsible for contacting its customers in a timely manner. to ensure the effectiveness of the Field Action in progress. It stands out the joint responsibility of the distribution chain and use of health products in maintaining its quality, safety and efficacy, as well as the effectiveness of the Field Action, expressed by RDC 23/2012: "(...) Art 2 ° A holder of registration of health product is the holder of the registration / registration of health product with Anvisa. Single paragraph. The registration holder, as well as other agents involved from the production to the use of the product, or discarding it when applicable, are jointly and severally responsible for maintaining the quality, safety and efficacy of the health products to the final consumer. Art. 12 Distributors of health products shall forward to the registration holder, in a timely manner, the distribution map and other information requested for the notification and execution of field actions. (...) "
  • Reason
    Cepheid has received reports that some customers reported a number of pressure drop errors (e2008) greater than the amount typically expected by using this test and its proposed use specimen types. the xpert gbs product has a failure rate of up to 10% known from e2008 when paired with certain samples. root cause of problem: pressure abortions are at a higher rate with certain valve body batches and certain clinical specimens. the likely cause is the filter material of the valve body. a pressure drop error (e2008) will delay the gbs test result and may require the test to be repeated. the error typically occurs within 30 minutes of the start of the test. as with all xpert® assays, when the test has an error, no patient result is reported and the report is designated as "invalid." there is no impact on valid test results. cepheid has implemented corrective action for newly manufactured gxbs-100n-10 batches to prevent further pressure drop errors (e2008) than expected.
  • Action
    Field Action Code CPHD-004/2017 triggered under the responsibility of Cepheid Brasil Importação, Exportação e Comércio de Produtos de Diagnósticos Ltda. Important Product Notice - customer orientation