TINA-QUANT HBALC GEN. 3
Received Sep 22, 2023 · Event occurred Aug 30, 2023
Report 1823260-2023-03072 · MDR key 17802119
Device
Generic name
Assay, Glycosylated Hemoglobin
Manufacturer
Roche DiagnosticsCatalog number
05336163190
Lot number
708797
Product problems
- High Test Results
- Material Integrity Problem
- High Test Results
- Material Integrity Problem
Patient
Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
THE ROOT CAUSE WAS CONSISTENT WITH A MAINTENANCE ISSUE. THE SERVICE ACTIONS (REPLACING THE LAMP, THE REACTION CELLS, AND THE SAMPLE PROBE) RESOLVED THE ISSUE. THERE WAS NO INDICATION OF A GENERAL PRODUCT PROBLEM.
Additional Manufacturer Narrative
THE COBAS 6000 C501 ANALYZER SERIAL NUMBER WAS (B)(6). THE FIELD SERVICE ENGINEER (FSE) VISITED THE CUSTOMER'S SITE AND NOTED THE FOLLOWING: THE CUSTOMER REPLACED THE LAMP, THE REACTION CELLS AND THE SAMPLE PROBE. THE GEAR PUMP PRESSURE WAS CHECKED. BOTH LEVEL QCS ON THE DAY OF EVENT WERE SHIFTED POSITIVELY. THE CALIBRATION TRACE SHOWED MULTIPLE CALIBRATION FAILURES ON 31-AUG-2023 AND THEN PASSED AFTER MULTIPLE AIR PURGES. THE HARDWARE CHECK WAS PERFORMED AND WAS SUCCESSFUL. THE FSE TESTED THE SAMPLE 5 TIMES AS A PRECISION AND THEY WERE SUCCESSFUL. THE INVESTIGATION IS ONGOING.
Description of Event or Problem
WE RECEIVED AN ALLEGATION OF QUESTIONABLE RESULTS FOR 5 PATIENTS' SAMPLES TESTED WITH THE HBA1C ON A COBAS 6000 C501 ANALYZER. DISCREPANT RESULTS FOR 3 PATIENTS' SAMPLES WERE PROVIDED. SAMPLE 1: INITIAL RESULT: 6.5% WITH A DATA FLAG. REPEAT RESULT: 5.2%. SAMPLE 2: INITIAL RESULT: 7.1% WITH A DATA FLAG. REPEAT RESULT: 5.3%. SAMPLE 3: INITIAL RESULT: 5.7% WITH A DATA FLAG. REPEAT RESULT: 4.8% WITH A DATA FLAG. THE PHYSICIAN QUESTIONED THE REPEAT RESULTS.