FDA Adverse Event Malfunction Summary report: N

COBAS C 513 ANALYZER

MDR report key: 23647686 · Received November 25, 2025

Report

Report Number
1823260-2025-04843
Event Type
Malfunction
Date Received
November 25, 2025
Date of Event
October 31, 2025
Report Date
November 25, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
UDI-DI
04015630946327
PMA / PMN Number
K160571
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE TINA-QUANT HEMOGLOBIN A1CDX GEN.3 REAGENT LOT NUMBER WAS 872464. THE EXPIRATION DATE WAS NOT PROVIDED. A GENERAL REAGENT ISSUE CAN BE EXCLUDED AS NO FURTHER ISSUES WERE REPORTED, AND A CORRECT RERUN WAS PERFORMED WITH THE SAME REAGENT. THE FIELD SERVICE ENGINEER FOUND THAT THE SAMPLE PROBE WAS OVERDUE FOR REPLACEMENT. HE REPLACED THE SAMPLE PROBE AND VERIFIED AND ADJUSTED THE GEAR PUMP PRESSURE. HE THEN CONFIRMED THAT THE INSTRUMENT AND THE TEST WERE PERFORMING WITHIN SPECIFICATIONS. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Description of Event or Problem · 0

WE RECEIVED AN ALLEGATION ABOUT A QUESTIONABLE TINA-QUANT HEMOGLOBIN A1CDX GEN.3 RESULT FOR 1 PATIENT SAMPLE TESTED ON THE COBAS C 513 ANALYZER. INITIAL RESULT: 52.2 %. ON (B)(6) 2025: REPEAT RESULT: 4.9 % (TESTED ON A VARIANT SYSTEM). THE REPEAT RESULT WAS DEEMED TO BE CORRECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2619766 COBAS C 513 ANALYZER CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS 04015630946327

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown