FDA Adverse Event Malfunction Summary report: N

URIC ACID VER.2

MDR report key: 20924999 · Received December 13, 2024

Report

Report Number
1823260-2024-03662
Event Type
Malfunction
Date Received
December 13, 2024
Date of Event
November 28, 2024
Report Date
February 11, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
KNK
UDI-DI
04015630925124
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE SERIAL NUMBER OF THE ANALYZER WAS (B)(6). THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative · 0

B7 OTHER RELEVANT HISTORY WAS UPDATED. GENERAL REAGENT ISSUES COULD BE RULED OUT AS CALIBRATION AND QC WAS INCONSPICUOUS, OTHER PATIENT SAMPLES WERE INCONSPICUOUS, AND DIFFERENT SAMPLES FROM THE SAME PATIENT GAVE MATCHING RESULTS. THE INVESTIGATION DETERMINED THE ISSUE WAS DUE TO PRE-ANALYTICAL HANDLING ISSUES AT THE CUSTOMER SITE. CORRECT PRE-ANALYTIC SAMPLE HANDLING IS WITHIN THE CUSTOMER'S RESPONSIBILITY. THERE IS NO EVIDENCE TO SUGGEST A MALFUNCTION OF THE DEVICE.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF QUESTIONABLE URIC ACID (UA2) RESULTS FOR ONE PATIENT SAMPLE TESTED ON A COBAS 8000 CORE UNIT INSTRUMENT. TWO SAMPLES FROM THE SAME PATIENT WERE TESTED WHERE ONE RESULT WAS 120 UMOL/L AND THE OTHER RESULT WAS <12 UMOL/L. THE INITIAL RESULT OF 120 UMOL/L WAS QUESTIONED AS IT DID NOT MATCH THE PATIENT'S PREVIOUS RESULTS. THE SAMPLE WAS REPEATED TWICE AND THE RESULT WAS <12 UMOL/L BOTH TIMES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2409751 URIC ACID VER.2 URIC ACID TEST SYSTEM KNK ROCHE DIAGNOSTICS 5171857190 802892 04015630925124

Patients

Seq Age Sex Outcome Treatment
1 26 YR Male