URIC ACID VER.2
Report
- Report Number
- 1823260-2025-03086
- Event Type
- Malfunction
- Date Received
- September 18, 2025
- Date of Event
- August 26, 2025
- Report Date
- December 1, 2025
- Manufacturer
- ROCHE DIAGNOSTICS
- Product Code
- KNK
- UDI-DI
- 04015630925124
- PMA / PMN Number
- K922762
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE RECEIVED CUSTOMER REAGENT CASSETTE APPEARED TO HAVE A DEEP RED, ABNORMAL COLOR FOR THE R2. ALSO, THE R1 REAGENT WAS A SLIGHTLY BROWNISH-RED, CLEAR SOLUTION. A RETENTION REAGENT CASSETTE WAS CHECKED, AND CALIBRATION COULD BE PERFORMED WITHOUT ERROR. AFTER THE SUCCESSFUL CALIBRATION, THE COLOR OF THE REAGENT WAS CHECKED, AND BOTH REAGENTS WERE COLORLESS. THE AFFECTED REAGENT CASSETTE WAS EMPTIED AND TESTED FOR MICROLEAKAGE. MICROLEAKAGE WAS CONFIRMED BETWEEN THE CHAMBERS. THE ROOT CAUSE WAS ISOLATED MICRO-DEFECTS IN THE COBAS C PACK LARGE CASSETTES.
THE COBAS 8000 C702 MODULE SERIAL NUMBER WAS (B)(6). THE CUSTOMER FOUND THAT THE R2 REAGENT OF THE AFFECTED REAGENT PACK HAD TURNED DARK RED. THE SUSPECTED REAGENT WAS REQUESTED FOR FURTHER INVESTIGATION.
THERE WAS AN ALLEGATION OF QUESTIONABLE URIC ACID VER.2 RESULTS FROM THE COBAS 8000 C702 MODULE. THE CUSTOMER REPLACED THE REAGENT PACK AND PERFORMED REPEAT TESTING. SAMPLE (B)(6), INITIAL RESULT WAS 636 UMOL/L, AND THE REPEAT RESULT WAS 312 UMOL/L. SAMPLE (B)(6), INITIAL RESULT WAS 583 UMOL/L, AND THE REPEAT RESULT WAS 218 UMOL/L. SAMPLE (B)(6), INITIAL RESULT WAS 733 UMOL/L, AND THE REPEAT RESULT WAS 419 UMOL/L. SAMPLE (B)(6), INITIAL RESULT WAS 648 UMOL/L, AND THE REPEAT RESULT WAS 308 UMOL/L. SAMPLE (B)(6), INITIAL RESULT WAS 621 UMOL/L, AND THE REPEAT RESULT WAS 268 UMOL/L. SAMPLE (B)(6), INITIAL RESULT WAS 595 UMOL/L, AND THE REPEAT RESULT WAS 227 UMOL/L. SAMPLE (B)(6) INITIAL RESULT WAS 528 UMOL/L, AND THE REPEAT RESULT WAS 85 UMOL/L. SAMPLE (B)(6), INITIAL RESULT WAS 713 UMOL/L, AND THE REPEAT RESULT WAS 394 UMOL/L. SAMPLE (B)(6), INITIAL RESULT WAS 587 UMOL/L, AND THE REPEAT RESULT WAS 194 UMOL/L. SAMPLE (B)(6), INITIAL RESULT WAS 650 UMOL/L, AND THE REPEAT RESULT WAS 295 UMOL/L.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1647836 | URIC ACID VER.2 | URIC ACID TEST SYSTEM | KNK | ROCHE DIAGNOSTICS | 5171857190 | 84558901 | 04015630925124 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |