FDA Adverse Event Malfunction Summary report: N

ASPARTATE AMINOTRANSFERASE ACC. TO IFCC WITHOUT PYRIDOXAL PHOSPHATE ACTIVATION

MDR report key: 4846629 · Received June 16, 2015

Report

Report Number
1823260-2015-03640
Event Type
Malfunction
Date Received
June 16, 2015
Date of Event
April 6, 2015
Report Date
August 4, 2015
Manufacturer
ROCHE DIAGNOSTICS
Product Code
CIT
PMA / PMN Number
K951595
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PO
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A SPECIFIC ROOT CAUSE COULD NOT BE IDENTIFIED. BASED ON THE PROVIDED DATA, IT WAS DETERMINED THE TEST MEASURED THE CORRECT AMOUNT OF AST IN THE PATIENT SAMPLE WHICH WAS ELEVATED DUE TO POSSIBLE MACRO ENZYMES.

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED IN (B)(6).

Description of Event or Problem · 1

THE CUSTOMER RECEIVED QUESTIONABLE ASPARTATE AMINOTRANSFERASE (AST) RESULTS FOR ONE PATIENT FROM A COBAS C501. (B)(6) 2015: 311 U/L 02/21/2015: 551 U/L 10/09/2013: 291 U/L IT WAS UNCERTAIN IF THESE RESULTS WERE GENERATED FROM THE SAME PATIENT SAMPLE. WITH THE SAMPLE THAT GENERATED THE RESULT OF 311 U/L, THE CUSTOMER PERFORMED PRECIPITATION WITH PEG5000: SAMPLE WITH PEG5000 25% IN PBS (1)- <10 U/L SAMPLE WITH PEG5000 25% IN PBS (2)- <10 U/L %PPA 96.8% (PPA REF 18-53 %). THE RESULTS WERE REPORTED OUTSIDE THE LABORATORY. THE PATIENT WAS NOT ADVERSELY AFFECTED. THE CUSTOMER SUSPECTED THE PRESENCE OF A MACROENZYME, ONE COMPLEXED WITH AN IMMUNOGLOBULIN AND AST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
390690 ASPARTATE AMINOTRANSFERASE ACC. TO IFCC WITHOUT PYRIDOXAL PHOSPHATE ACTIVATION NADH OXIDATION/NAD REDUCTION, AST/SGOT CIT ROCHE DIAGNOSTICS NA 61168

Patients

Seq Age Sex Outcome Treatment
1 025 YR