inforMED
MalfunctionCIT

ASPARTATE AMINOTRANSFERASE ACC. TO IFCC WITH PYRIDOXAL PHOSPHATE ACTIVATION

Received Jul 1, 2021 · Event occurred Jun 14, 2021

Report 1823260-2021-01911 · MDR key 12100689

Device

Generic name

Aspartate Amino Transferase (ast/sgot) Test System

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

05531446190

Lot number

52481101

Product problems

  • Low Test Results
  • Incorrect, Inadequate or Imprecise Result or Readings
  • Low Test Results

Patient

Not reported

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE INVESTIGATION COULD NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative

THE REPORTER STATED THAT PATIENT RESULTS WERE FINE AFTER THEY CHANGED OVER TO A NEW AST REAGENT PACK. THE FIELD SERVICE ENGINEER CHECKED ALIGNMENTS, WASH STATIONS, AND THE GEAR PUMP PRESSURE; ALL WERE WITHIN SPECIFICATIONS. THE CUSTOMER RAN CONTROLS AND ALL RESULTS MET SPECIFICATIONS. UDI NUMBER = (B)(4).

Description of Event or Problem

THE INITIAL REPORTER STATED THEY RECEIVED DISCREPANT RESULTS FOR ONE PATIENT SAMPLE TESTED WITH ASTPM ASPARTATE AMINOTRANSFERASE ACC. TO IFCC WITH PYRIDOXAL PHOSPHATE ACTIVATION ON A COBAS 8000 C 702 MODULE (SERIAL NUMBER (B)(4)). THE REPORTER NOTED THAT THE ISSUE OCCURS WHEN THE REAGENT PACK IS LOW. THE SAMPLE INITIALLY RESULTED IN AN AST VALUE OF 13 U/L AND THIS VALUE WAS REPORTED OUTSIDE OF THE LABORATORY. THE SAMPLE WAS REPEATED, RESULTING IN A VALUE OF 20 U/L. THE REPEAT VALUE WAS BELIEVED TO BE CORRECT.