FDA Adverse Event Malfunction Summary report: N

COBAS C 513 ANALYZER

MDR report key: 23019184 · Received September 10, 2025

Report

Report Number
1823260-2025-02821
Event Type
Malfunction
Date Received
September 10, 2025
Date of Event
July 10, 2025
Report Date
October 21, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
UDI-DI
04015630946327
PMA / PMN Number
K160571
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE TINA-QUANT HEMOGLOBIN A1CDX GEN.3 REAGENT LOT NUMBER IS 801605, AND THE EXPIRATION DATE WAS NOT PROVIDED. THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative · 0

THE RESULT FROM 11-AUG-2025 OF 7.4% WAS DEEMED TO BE CORRECT. A FIELD SERVICE ENGINEER (FSE) CHECKED THE ANALYZER AND DID NOT REPORT ANY RELATED HARDWARE FINDINGS. THE INVESTIGATION WAS UNABLE TO DETERMINE A DIRECT ROOT CAUSE. THE CUSTOMER HAS NOT REPORTED ANY FURTHER ISSUES SINCE THE FSE'S SERVICE CHECKS, AND THE ISSUE IS CONSIDERED TO BE RESOLVED.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF A QUESTIONABLE LOW TINA-QUANT HEMOGLOBIN A1CDX GEN.3 RESULT FROM THE COBAS C 513 ANALYZER FOR ONE PATIENT. THE INITIAL RESULT WAS 3.4 %. THE LOW RESULT DID NOT MATCH THE PATIENT'S CLINICAL PICTURE, AS THE PATIENT HAS NO HISTORY OF HEMOGLOBIN VARIANT/THALASSEMIA, AND HAD A CONSISTENT HBA1C RESULT OF ~7.4% IN THE PAST YEAR. A NEW SAMPLE WAS COLLECTED ON (B)(6) 2025, AND THE RESULT WAS 7.4% THE INITIAL SAMPLE WAS DISCARDED AND COULD NOT BE RERUN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2468752 COBAS C 513 ANALYZER CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS 04015630946327

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown