inforMED
MalfunctionLCP

TINA-QUANT HEMOGLOBIN A1CDX GEN. 3

Received Sep 18, 2023 · Event occurred Aug 23, 2023

Report 1823260-2023-03008 · MDR key 17766033

Device

Generic name

Glycosylated Hemoglobin Assay

Manufacturer

Roche Diagnostics

Catalog number

07559674190

Lot number

67251001

Product problems

  • High Test Results
  • Non Reproducible Results
  • High Test Results
  • Non Reproducible Results

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

THE FIELD SERVICE ENGINEER (FSE) MADE REAGENT AND SAMPLE PROBE ADJUSTMENTS. THE CUVETTE SEGMENTS WERE SEATED PROPERLY. THE SAMPLE PROBE WAS CHECKED FOR OBSTRUCTIONS BY FLUSHING. THE FSE NOTED THAT THE REAGENT PACKS MAY HAVE FROZEN IN THE CUSTOMER'S REFRIGERATOR. THE CUSTOMER HAS NOT COMPLAINED OF ANY FURTHER ISSUES. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative

THE C513 ANALYZER SERIAL NUMBER IS (B)(6). THE FIELD SERVICE REPRESENTATIVE (FSR) CHECKED CALIBRATION, QC, AND OPERATOR MAINTENANCE AND DID NOT IDENTIFY ANY ISSUES. INSTRUMENT PERFORMANCE TESTING WAS ACCEPTABLE. FREQUENT ABNORMAL ASPIRATION ALARMS WERE OBSERVED ON THE ALARM TRACE DATA. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THE INITIAL REPORTER COMPLAINED OF DISCREPANT HIGH RESULTS FOR 2 PATIENT SAMPLES TESTED FOR TINA-QUANT HEMOGLOBIN A1CDX GEN. 3 ON A COBAS C513 ANALYZER. PATIENT 1 INITIAL RESULT WAS 7.41% ON (B)(6) 2023 THE SAMPLE WAS REPEATED ON A COBAS 8000 C 502 MODULE WITH A RESULT OF 5.86%. PATIENT 2 INITIAL RESULT WAS 11.03%. ON (B)(6) 2023 THE SAMPLE WAS REPEATED ON A COBAS 8000 C 502 MODULE WITH A RESULT OF 9.51%.