inforMED
MalfunctionLCP

TINA-QUANT HEMOGLOBIN A1CDX GEN. 3

Received Jan 10, 2023 · Event occurred Dec 20, 2022

Report 1823260-2023-00093 · MDR key 16129886

Device

Generic name

Glycosylated Hemoglobin Assay

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

08056668190

Lot number

ASKU

Product problems

  • High Test Results
  • High Test Results

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

THE CUSTOMER REPLACED THE REAGENT PACK WHICH RESOLVED THE ISSUE. THE INVESTIGATION DETERMINED THE ISSUE WAS WITH THE SPECIFIC REAGENT PACK.

Additional Manufacturer Narrative

THE CUSTOMER SUSPECTED THE REAGENT WAS NOT IN A TEMPERATURE-CONTROLLED ENVIRONMENT DURING SHIPMENT AND DROPPED BELOW THE ALLOWABLE TEMPERATURE. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE HEMOGLOBIN A1C RESULTS FROM THE COBAS PRO C 503 ANALYTICAL UNIT SERIAL NUMBER (B)(4). THE CUSTOMER ESTIMATED 500 PATIENT RESULTS HAD TO BE CORRECTED. ONE REPRESENTATIVE EXAMPLE WAS PROVIDED OF AN ORIGINAL RESULT OF 6.9% AND A REPEAT RESULT OF 5.2%. THE QUESTIONABLE RESULTS WERE REPORTED OUTSIDE OF THE LABORATORY. THE REPEAT RESULTS WERE BELOVED CORRECTED. ONE SURGERY WAS CANCELED AND A MEDICATION NOT NEEDED WAS ORDERED BUT NOT USED.