inforMED
MalfunctionLCP

TINA-QUANT HEMOGLOBIN A1CDX GEN. 3

Received Mar 28, 2024 · Event occurred Mar 11, 2024

Report 1823260-2024-00930 · MDR key 18997223

Device

Generic name

Glycosylated Hemoglobin Assay

Manufacturer

Roche Diagnostics

Catalog number

08056668190

Lot number

718886

Product problems

  • Incorrect Measurement
  • High Test Results
  • Non Reproducible Results
  • Incorrect Measurement
  • High Test Results
  • Non Reproducible Results

Patient

28 YR · Female

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

Narrative

Additional Manufacturer Narrative

THE INVESTIGATION DETERMINED THAT A REAGENT RELATED ISSUE CAN BE EXCLUDED. UPON ANALYSIS OF THE ANALYZER DATA FILES, THE SYSTEM WAS FOUND TO BE WORKING WITHIN SPECIFICATIONS. THE ALARM TRACE SHOWED MULTIPLE ABNORMAL ASPIRATION ALARMS. THESE ALARMS INDICATE AN ISSUE WITH SAMPLE QUALITY. THE CUSTOMER IMPROVED THEIR CENTRIFUGATION SPEED AND CONFIRMED THERE WERE NO FURTHER ISSUES. THE INVESTIGATION DETERMINED THE ISSUE IS CONSISTENT WITH INSUFFICIENT PRE-ANALYTIC SAMPLE HANDLING.

Additional Manufacturer Narrative

THE SERIAL NUMBER OF THE C503 ANALYZER IS (B)(6) . QUALITY CONTROL DATA WAS ACCEPTABLE. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THE INITIAL REPORTER STATED THEY RECEIVED DISCREPANT RESULTS FOR ONE PATIENT SAMPLE TESTED WITH TINA-QUANT HEMOGLOBIN A1CDX GEN. 3 ON A COBAS C 503 ANALYTICAL UNIT. THE SAMPLE INITIALLY RESULTED IN AN HBA1C VALUE OF 7.1 %. THE PATIENT ASKED FOR A REPEAT OF THE SAMPLE. THE SAMPLE WAS REPEATED, RESULTING IN AN HBA1C VALUE OF 5.78 %.