FDA Adverse Event Malfunction Summary report: N

TOSOH HLC-723G8 ANALYZER

MDR report key: 7132249 · Received December 19, 2017

Report

Report Number
8031673-2017-00186
Event Type
Malfunction
Date Received
December 19, 2017
Date of Event
November 20, 2017
Report Date
January 5, 2019
Manufacturer
TOSOH CORPORATION
Product Code
LCP
PMA / PMN Number
K131580
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

TOSOH BIOSCIENCE, INC. IS SUBMITTING ON BEHALF OF THE FOREIGN MANUFACTURER, TOSOH CORPORATION, PER EXEMPTION NUMBER E2017013. SUBMISSION OF THIS REPORT DOES NOT CONSTITUTE AN ADMISSION THAT THE IMPORTER OR MANUFACTURER'S PRODUCT CAUSED OR CONTRIBUTED TO THE EVENT. PLEASE NOTE, FOLLOW UP #2 INCORRECTLY LISTED. APPROX AGE OF DEVICE AS 4 YEARS. THE CORRECT AGE OF DEVICE IS 5 YEARS. ALSO PLEASE NOTE, THAT THE INITIAL, FOLLOW UP #1, AND FOLLOW UP #2 MDR SUBMISSIONS INCORRECTLY NOTED. DEVICE MANUFACTURE DATE AS 01-OCT-2012. THE CORRECT DEVICE MANUFACTURE DATE WAS 01-SEPT-2012.

Additional Manufacturer Narrative · 0

TOSOH BIOSCIENCE, INC. IS SUBMITTING ON BEHALF OF THE FOREIGN MANUFACTURER, TOSOH CORPORATION, PER EXEMPTION NUMBER E2017013. ON (B)(6) 2017 A FIELD SERVICE ENGINEER (FSE) FOUND THE PEEK TUBING WAS NOT PUSHED ALL THE WAY THROUGH THE FINGER NUT. FSE PUSHED THE TUBING THROUGH THE FINER NUT AND THE ISSUE WAS RESOLVED. THE FSE THEN PROCEEDED TO RUN QUALITY CONTROLS, WHICH PASSED WITHOUT ANY ISSUES. THE G8 INSTRUMENT WAS PERFORMING WITHIN SPECIFICATIONS AFTER COMPLETING THE REPAIR. ON (B)(6) 2017 A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO CUSTOMER'S FACILITY. FSE VERIFIED THE SYRINGE ASSEMBLY FOR ERROR 706. FSE THEN VERIFIED CORRECT PERFORMANCE OF THE SENSORS AND MOTOR, CLEANED AND LUBRICATED THE SYRINGE ASSEMBLY. THE FSE THEN RAN QUALITY CONTROLS (QC) AND ALL PASSED WITHOUT ANY ISSUES. THE G8 INSTRUMENT WAS PERFORMING WITHIN SPECIFICATIONS. A 13-MONTH COMPLAINT HISTORY REVIEW AND SERVICE HISTORY REVIEW FOR SIMILAR COMPLAINTS WAS PERFORMED FOR (B)(4) FROM (B)(6) 2016 THROUGH (B)(6) 2017. THERE WERE NO OTHER SIMILAR COMPLAINTS IDENTIFIED DURING THE SEARCHED PERIOD. THE G8 OPERATOR'S MANUAL UNDER CHAPTER 6, TROUBLESHOOTING, STATES MESSAGE 706 IS SYRINGE-L ERROR AND IS OPERATION ERROR IN SYRINGE-L. THE COUNTERMEASURE IS FOR THE USER TO INSPECT THE SYRINGE-L AND EXECUTE SMP.RESET. THE MOST PROBABLE CAUSE OF THE ISSUE COULD NOT BE DETERMINED. THE INSTRUMENT WAS CLEANED AND LUBRICATED AND WORKING AS INTENDED.

Description of Event or Problem · 0

ON (B)(6) 2017 A CUSTOMER REPORTED GETTING INTERMITTENT ERROR 706 SYRINGE-L ERROR DURING START UP ON THE G8. ON (B)(6) 2017 FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO ADDRESS THE REPORTED EVENT, WHICH RESULTED IN DELAY IN REPORTING OF PATIENT RESULTS FOR HEMOGLOBIN A1C (HBA1C). THERE WAS NO INDICATION OF ANY PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DELAY IN REPORTING OF PATIENT RESULTS.

Additional Manufacturer Narrative · 1

PLEASE DISREGARD THE FOLLOWING INFORMATION AS IT WAS INCORRECTLY REPORTED IN THE ORIGINAL SUBMISSION: "ON (B)(6) 2017 A FIELD SERVICE ENGINEER (FSE) FOUND THE PEEK TUBING WAS NOT PUSHED ALL THE WAY THROUGH THE FINGER NUT. FSE PUSHED THE TUBING THROUGH THE FINER NUT AND THE ISSUE WAS RESOLVED. THE FSE THEN PROCEEDED TO RUN QUALITY CONTROLS, WHICH PASSED WITHOUT ANY ISSUES. THE G8 INSTRUMENT WAS PERFORMING WITHIN SPECIFICATIONS AFTER COMPLETING THE REPAIR. "

Additional Manufacturer Narrative · 1

CORRECTED DATA: INITIAL REPORT, THE FSE DISPATCHED DATE WAS (B)(6) 2017. THE CORRECTED DATE IS (B)(6) 2017.

Description of Event or Problem · 1

N/A.

Description of Event or Problem · 1

N/A.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
909939 TOSOH HLC-723G8 ANALYZER G8 LCP TOSOH CORPORATION G8

Patients

Seq Age Sex Outcome Treatment
1