FDA Adverse Event Malfunction Summary report: N

GAMMA-GLUTAMYLTRANSFERASE (GGT)

MDR report key: 19819604 · Received July 24, 2024

Report

Report Number
1823260-2024-02146
Event Type
Malfunction
Date Received
July 24, 2024
Date of Event
July 3, 2024
Report Date
December 19, 2024
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JQB
UDI-DI
07613336121252
PMA / PMN Number
K972250
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

C503 ANALYZER A SERIAL NUMBER WAS (B)(6). THE SERIAL NUMBER FOR C503 ANALYZER B WAS NOT PROVIDED.

Additional Manufacturer Narrative · 0

CALIBRATION WAS ACCEPTABLE. THE CUSTOMER STATED QC WAS ACCEPTABLE. MULTIPLE "ABNORMAL ASPIRATION" AND "SAMPLE SHORT" ALARMS WERE OBSERVED ON THE ALARM TRACE DATA. THE ANALYZER WAS INSPECTED AND CRYSTALLIZATION OF BASIC WASH SOLUTION WAS OBSERVED AROUND A MANIFOLD (LIKELY FROM A PREVIOUS LEAK IN (B)(6) 2024; NO CURRENT LEAKS WERE OBSERVED). SAMPLE AND REAGENT PROBES WERE REPLACED AND ADJUSTED, AND THE ULTRASONIC MIXER HEIGHT AND WATER SUPPLY WERE ADJUSTED. INSTRUMENT PERFORMANCE TESTING WAS ACCEPTABLE. THE SPECIFIC CAUSE OF THE EVENT COULD NOT BE DETERMINED; HOWEVER, THE INVESTIGATION DETERMINED THE EVENT WAS CONSISTENT WITH A PREANALYTICAL HANDLING ISSUE.

Description of Event or Problem · 0

THE INITIAL REPORTER COMPLAINED OF DISCREPANT RESULTS FOR 1 PATIENT SAMPLE TESTED FOR GAMMA-GLUTAMYLTRANSFERASE (GGT) ON TWO COBAS C 503 ANALYTICAL UNITS. THE INITIAL RESULT WAS 91.4 UI/L ON C503 ANALYZER A. THE SAMPLE WAS REPEATED ON C503 ANALYZER A WITH RESULTS OF 55.6 UI/L, 57 UI/L, AND 66 UI/L. THE SAMPLE WAS REPEATED ON C503 ANALYZER B WITH A RESULT OF 91.4 UI/L ACCOMPANIED BY AN INVALIDATING DATA FLAG. THE REPEAT RESULTS ON C503 ANALYZER B WERE 91.4 UI/L AND 56 UI/L. THE RESULTS CLOSE TO 56 UI/L WERE BELIEVED TO BE CORRECT. ANOTHER SAMPLE FROM THE PATIENT WAS REPEATED 5 TIMES WITH RESULTS OF 51 UI/L AND 52 UI/L.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2408640 GAMMA-GLUTAMYLTRANSFERASE (GGT) GAMMA-GLUTAMYL TRANSPEPTIDASE JQB ROCHE DIAGNOSTICS 794275 07613336121252

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown