inforMED
MalfunctionKNK

UA2

Received Apr 10, 2023 · Event occurred Feb 21, 2023

Report 1823260-2023-01180 · MDR key 16708534

Device

Generic name

Uric Acid Test System

Manufacturer

Roche Diagnostics

Model number

UA G2

Catalog number

08058750190

Lot number

66468501

Product problems

  • Low Test Results
  • Low Test Results

Patient

Unknown

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

Narrative

Description of Event or Problem

THE INITIAL REPORTER STATED THEY RECEIVED DISCREPANT RESULTS FOR NINE PATIENT SAMPLES TESTED WITH UA2 URIC ACID VER.2 ON COBAS PRO C 503 ANALYTICAL UNIT SERIAL NUMBER (B)(4). THE INITIAL VALUES WERE REPORTED OUTSIDE OF THE LABORATORY TO THE DOCTOR. THE FIRST SAMPLE INITIALLY RESULTED IN A URIC ACID VALUE OF 0.5 MG/DL AND IT REPEATED AS 3.12 MG/DL. THE SECOND SAMPLE INITIALLY RESULTED IN A URIC ACID VALUE OF 0.7 MG/DL AND IT REPEATED AS 5.89 MG/DL. THE THIRD SAMPLE INITIALLY RESULTED IN A URIC ACID VALUE OF 1.6 MG/DL AND IT REPEATED AS 5.06 MG/DL. THE FOURTH SAMPLE INITIALLY RESULTED IN A URIC ACID VALUE OF 0.4 MG/DL AND IT REPEATED AS 4.13 MG/DL. THE FIFTH SAMPLE INITIALLY RESULTED IN A URIC ACID VALUE OF 0.4 MG/DL AND IT REPEATED AS 3.63 MG/DL. THE SIXTH SAMPLE INITIALLY RESULTED IN A URIC ACID VALUE OF 0.7 MG/DL AND IT REPEATED AS 4.81 MG/DL. THE SEVENTH SAMPLE INITIALLY RESULTED IN A URIC ACID VALUE OF 1.1 MG/DL AND IT REPEATED AS 5.48 MG/DL. THE EIGHTH SAMPLE INITIALLY RESULTED IN A URIC ACID VALUE OF 2.4 MG/DL AND IT REPEATED AS 4.2 MG/DL. THE NINTH SAMPLE INITIALLY RESULTED IN A URIC ACID VALUE OF 0.8 MG/DL AND IT REPEATED AS 4.2 MG/DL.

Additional Manufacturer Narrative

THE CUSTOMER PROVIDED ADDITIONAL INFORMATION IN RELATION TO THE 9 COMPLAINED PATIENT SAMPLES. REFER TO THE ATTACHMENT FOR THE PATIENT DATA, INCLUDING RELEVANT TEST DATA FOR SOME OF THE SAMPLES.

Additional Manufacturer Narrative

CALIBRATION AND CONTROLS RECOVERED WITHIN SPECIFICATIONS. A GENERAL PRODUCT ISSUE CAN BE EXCLUDED. UPON REVIEW OF THE ALARM TRACE, ABNORMAL ASPIRATION ALARMS TOOK PLACE ON (B)(6)2023 AND (B)(6)2023. A HARDWARE CHECK WAS PERFORMED AND WAS WITHIN SPECIFICATIONS. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT ISSUE. THE ISSUE IS CONSISTENT WITH INCORRECT PRE-ANALYTIC SAMPLE HANDLING.