FDA Adverse Event Malfunction Summary report: N

TPUC3

MDR report key: 20147895 · Received September 5, 2024

Report

Report Number
1823260-2024-02563
Event Type
Malfunction
Date Received
September 5, 2024
Date of Event
August 8, 2024
Report Date
September 30, 2024
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JGQ
UDI-DI
04015630919536
PMA / PMN Number
K141925
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE ANALYZER'S SERIAL NUMBER IS (B)(6). THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative · 0

THE CALIBRATION DATA SHOWED "STD.E" ALARMS. THE FIELD SERVICE REPRESENTATIVE FOUND THE CUSTOMER HAD NOT UPDATED THE CALIBRATOR TO THE NEW LOT. THE CUSTOMER CORRECTED THE CALIBRATOR LOT NUMBER AND ADJUSTED THE QC. THE FIELD SERVICE REPRESENTATIVE INSPECTED THE SYSTEM AND PERFORMED CHECKS WITH ACCEPTABLE RESULTS. AFTER SERVICE, NO ISSUES WERE REPORTED BY THE CUSTOMER. THE INVESTIGATION DETERMINED THE SERVICE ACTIONS RESOLVED THE ISSUE.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF QUESTIONABLE TPUC3 RESULTS FOR 1 PATIENT SAMPLE ON A COBAS 6000 C (501) MODULE. THE INITIAL RESULT WAS 15.2 MG/DL. THE REPEATED RESULT WAS 8.4 MG/DL. THE SAMPLE WAS REPEATED ON ANOTHER ANALYZER TO ENSURE THE RESULT OF 8.4 MG/DL WAS CORRECT. THE RESULT OBTAINED ON THE OTHER ANALYZER WAS NOT PROVIDED. THE RESULTS WERE REPORTED OUTSIDE THE LABORATORY. THE SAMPLE WAS REPEATED DUE TO QC BEING OUT OF RANGE AFTER THE SAMPLE WAS PROCESSED. THE REPEATED RESULT OF 8.4 MG/DL WAS BELIEVED TO BE CORRECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2073579 TPUC3 TURBIDIMETRIC, TOTAL PROTEIN JGQ ROCHE DIAGNOSTICS 778909 04015630919536

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown