FDA Adverse Event Malfunction Summary report: N

TINA-QUANT LIPOPROTEIN (A) GEN. 2

MDR report key: 20091108 · Received August 28, 2024

Report

Report Number
1823260-2024-02495
Event Type
Malfunction
Date Received
August 28, 2024
Date of Event
August 4, 2024
Report Date
October 22, 2024
Manufacturer
ROCHE DIAGNOSTICS
Product Code
DFC
UDI-DI
07613336140833
PMA / PMN Number
K122722
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MEDWATCH FIELD B3 DATE OF EVENT WAS UPDATED. ADDITIONAL TESTS OF THE SAMPLE WERE PERFORMED ON 04-AUG-2024 ON ANOTHER LINE OF THE ANALYZER AND WERE 46 MG/DL, 47 MG/DL, 89 MG/DL, AND 49 MG/DL. THE RESULT OF 49 MG/DL WAS BELIEVED TO BE CORRECT. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE SPECIFIC CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative · 0

THE COBAS C 503 ANALYTICAL UNIT SERIAL NUMBER WAS (B)(6). THE FIELD SERVICE ENGINEER CHECKED THE ANALYZER AND DID NOT FIND AN ISSUE. HE PERFORMED A PRECISION CHECK THAT WAS SUCCESSFUL. THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF QUESTIONABLE TINA-QUANT LIPOPROTEIN (A) GEN. 2 RESULTS FROM THE COBAS C 503 ANALYTICAL UNIT. THE INITIAL RESULT WAS 38 MG/DL. THE REPEAT RESULT WAS 80 MG/DL. THE QUESTIONABLE RESULT WAS NOT REPORTED OUTSIDE OF THE LABORATORY. THE CUSTOMER WAS NOT SURE WHICH RESULT WAS CORRECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1493859 TINA-QUANT LIPOPROTEIN (A) GEN. 2 LIPOPROTEIN, LOW-DENSITY, ANTIGEN, ANTISERUM, CONTROL DFC ROCHE DIAGNOSTICS ASKU 07613336140833

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown