inforMED
MalfunctionLCP

A1CNOW SELF CHECK

Received Jan 19, 2022 · Event occurred Nov 29, 2021

Report 1836135-2022-00008 · MDR key 13296944

Device

Generic name

Clinical Chemistry Analyzer

Manufacturer

Pts Diagnostics

Model number

3070

Catalog number

3070

Lot number

2107749

Product problems

  • No Apparent Adverse Event
  • No Apparent Adverse Event

Patient

Unknown

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

Narrative

Description of Event or Problem

THE CUSTOMER REPORTED HAVING TROUBLE USING THEIR A1C KIT. DURING TROUBLESHOOTING THE CUSTOMER STATED THEY HAVE ONE ANALYZER BUT TWO CARTRIDGES WITH DIFFERENT CODES. ONE MATCHES THE ANALYZER, THE OTHER DOES NOT. THERE WERE NO ALLEGATIONS OF PATIENT/USER HARM. THERE WERE NO ALLEGATIONS OF INCORRECT RESULTS. THIS EVENT IS BEING REPORTED OUT OF AN ABUNDANCE OF CAUTION DUE TO THE CUSTOMERS REPORT OF HAVING MISMATCHED CARTRIDGES.

Additional Manufacturer Narrative

THE CUSTOMER DID NOT RECEIVE A RESULT OR MAKE A MEDICAL DECISION BASED ON ANY TESTING USING THESE COMPONENTS. THIS REPORT IS BEING SUBMITTED OUT OF AN ABUNDANCE OF CAUTION. PTS PACKAGED LOT WITH W0 LOT CODE, PERFORMED LINE CLEARANCE AND THEN PACKAGED LOT WITH X0 CODE FOLLOWED BY ANOTHER LINE CLEARANCE BEFORE PACKAGING LOT WITH CODE Y0. THE MATERIALS FROM LOTS WITH CODES W0 AND Y0 SHOULD NOT HAVE BEEN INTERMINGLED BASED ON MANUFACTURING PROCESSES. NO OTHER COMPLAINTS HAVE BEEN ALLEGED AGAINST MIXING OF THESE LOT CODES. TO FURTHER EXAMINE THE CUSTOMER'S ALLEGATION, WE EXAMINED THE CODES PRINTED ON RETAINED TEST CARTRIDGES (6 EACH) AND ANALYZERS (3 EACH). ALL CARTRIDGES AND ANALYZERS USED ACROSS TESTING POSSESSED THE CODE W0 AS EXPECTED.