inforMED
MalfunctionLCP

PREMIER HB9210 HBA1C CONTROL KIT

Received Nov 16, 2021

Report 1931251-2021-00001 · MDR key 12819907

Device

Generic name

Hba1c Assay

Manufacturer

Primus Corporation

Model number

01-04-0020

Catalog number

01-04-0020

Lot number

12160

Product problems

  • Unable to Obtain Readings
  • Unable to Obtain Readings

Patient

Unknown

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

Narrative

Description of Event or Problem

HBA1C CONTROL I OF LOT 12160 OBSERVED WITH VALUES ABOVE THE ACCEPTABLE TARGET RANGE. VENDOR IDENTIFIED AN UNCOMMONLY HIGH GLUCOSE LEVEL IN THE CONTROL MATERIAL WHICH GLYCATES OVER TIME CREATED FALSE HIGH VALUES. PRODUCT LOT HAD BEEN PLACED ON SHIPPING HOLD NEAR THE SAME TIME AS THE COMPLAINT. NO KNOWN REPORTING TO MEDICAL STAFF OR PATIENTS.

Remedial action

  • Replace