inforMED
MalfunctionLCP

TINA-QUANT HEMOGLOBIN A1CDX GEN. 3

Received Jul 2, 2024 · Event occurred Jun 9, 2024

Report 1823260-2024-01926 · MDR key 19659477

Device

Generic name

Glycosylated Hemoglobin Assay

Manufacturer

Roche Diagnostics

Catalog number

08056668190

Lot number

76516801

Product problems

  • High Test Results
  • Non Reproducible Results
  • 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

A PREANALYTIC SAMPLE HANDLING ISSUE OR INCOMPLETE USER MAINTENANCE COULD HAVE CONTRIBUTED TO THE ISSUE. BASED ON THE AVAILABLE DATA AND OBSERVED FAILURE MODE, THERE WAS NO EVIDENCE OF AN INSTRUMENT OR REAGENT ISSUE. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.

Additional Manufacturer Narrative

THE ANALYZER'S SERIAL NUMBER IS (B)(4). THE CUSTOMER'S QC WAS ACCEPTABLE. THE CUSTOMER'S CALIBRATION TRACE SHOWED MANY STD.E, >CUVET, AND SAMP.S ALARMS. IT WAS NOTED THAT A HIGH NUMBER OF ABNORMAL CELL BLANK ALARMS WERE OBSERVED. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE TINA-QUANT HEMOGLOBIN A1CDX GEN. 3 RESULTS FOR 2 PATIENT SAMPLES ON A COBAS C 503 ANALYTICAL UNIT. PATIENT 1: THE INITIAL RESULT WAS 8.14% AND THE REPEATED RESULT WAS 5.35%. PATIENT 2: THE INITIAL RESULT WAS 7.43% AND THE REPEATED RESULT WAS 5.54%. THE SAMPLES WERE REPEATED DUE TO THE RESULTS NOT CORRELATING WITH THE PATIENTS' GLUCOSE RESULTS.