inforMED
MalfunctionLCP

HBA1C TQ GEN.3

Received Jun 26, 2024 · Event occurred May 28, 2024

Report 1823260-2024-01868 · MDR key 19617776

Device

Generic name

Glycosylated Hemoglobin Assay

Manufacturer

Roche Diagnostics

Catalog number

05336180190

Lot number

66305801

Product problems

  • False Positive Result
  • Incorrect, Inadequate or Imprecise Result or Readings
  • High Test Results
  • Non Reproducible Results
  • False Positive Result
  • Incorrect, Inadequate or Imprecise Result or Readings
  • High Test Results
  • Non Reproducible Results

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

DATA WAS REQUESTED FOR INVESTIGATION BUT NOT PROVIDED DESPITE SEVERAL REMINDERS WITHIN MORE THAN 3 MONTHS. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative

THE COBAS C111 ANALYZER SERIAL NUMBER WAS (B)(6). CALIBRATION AND QC WERE ACCEPTABLE. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

WE RECEIVED AN ALLEGATION ABOUT DISCREPANT RESULTS FOR 7 PATIENTS' SAMPLES TESTED WITH HBA1C ASSAY ON A COBAS C111 ANALYZER. SAMPLE 1 AND SAMPLE 2 WERE REPEATED ON (B)(6) 2024: SAMPLE 1 (PATIENT 1): INITIAL RESULT: 7.6 %. REPEAT RESULT: 5.8 %. SAMPLE 2 (PATIENT 2): INITIAL RESULT: 8.9 %. REPEAT RESULT: 6.5 %. SAMPLE 3 (PATIENT 3) WAS REPEATED ON (B)(6) 2024: INITIAL RESULT: 7.0 %. REPEAT RESULT: 5.4 %. SAMPLE 4, SAMPLE 5, SAMPLE 6, AND SAMPLE 7 WERE REPEATED ON (B)(6) 2024: SAMPLE 4 (PATIENT 4): INITIAL RESULT: 6.7 %. REPEAT RESULT: 5.2 %. SAMPLE 5 (PATIENT 5): INITIAL RESULT: 8.8 %. REPEAT RESULT: 6.7 %. SAMPLE 6 (PATIENT 6): INITIAL RESULT: 9.4 %. REPEAT RESULT: 7.4 %. SAMPLE 7 (PATIENT 7): INITIAL RESULT: 6.6 %. REPEAT RESULT: 5.2 %. THE PATIENTS QUESTIONED THEIR INITIAL RESULTS AND, THEREFORE, THE SAMPLES WERE REPEATED. THE REPEAT RESULTS WERE DEEMED TO BE CORRECT.