FDA Adverse Event Malfunction Summary report: N

GLUCOSE HK GEN.3

MDR report key: 23810856 · Received December 15, 2025

Report

Report Number
1823260-2025-05126
Event Type
Malfunction
Date Received
December 15, 2025
Date of Event
November 26, 2025
Report Date
June 8, 2026
Manufacturer
ROCHE DIAGNOSTICS
Product Code
CFR
UDI-DI
07613336121283
PMA / PMN Number
K191899
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
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.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF QUESTIONABLE GLUCOSE HK GEN.3 ASSAY RESULTS FOR TWO PATIENT SAMPLES TESTED ON A COBAS C 503 ANALYTICAL UNIT. SAMPLE 1: THE INITIAL RESULT USING PLASMA COLLECTED IN LITHIUM HEPARIN (LI-HEP) WAS 137 MG/DL. RERUN RESULT USING PLASMA COLLECTED IN SODIUM FLUORIDE (NAF) WAS 77.9 MG/DL. SAMPLE 2: THE INITIAL RESULT USING PLASMA COLLECTED IN LI-HEP 90.4 MG/DL. THE REPEAT RESULT USING PLASMA COLLECTED IN NAF WAS 71.5 MG/DL. (B)(6) 2025, THE SAMPLE COLLECTED IN LI-HEP WAS REPEATED AND THE RESULT WAS 57.8 MG/DL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
290283 GLUCOSE HK GEN.3 GLUCOSE HEXOKINASE CFR ROCHE DIAGNOSTICS 88912 07613336121283

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown