FDA Adverse Event Malfunction Summary report: N

TOSOH HLC-723GA ANALYZER G8

MDR report key: 7360813 · Received March 22, 2018

Report

Report Number
8031673-2018-03542
Event Type
Malfunction
Date Received
March 22, 2018
Date of Event
October 15, 2015
Report Date
March 22, 2018
Manufacturer
TOSOH CORPORATION
Product Code
LCP
PMA / PMN Number
K071132
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, 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. THIS REPORT IS BEING SUBMITTED DUE TO A RETROSPECTIVE REVIEW CONDUCTED UNDER CAPA-2017-0007. SUBMISSION OF THIS REPORT DOES NOT CONSTITUTE AN ADMISSION THAT THE IMPORTER OR MANUFACTURER'S PRODUCT CAUSED OR CONTRIBUTED TO THE EVENT. TECHNICAL SUPPORT ADVISED THE CUSTOMER TO CONTACT STRECK. ALL OTHER CHROMATOGRAMS WERE NORMAL. THE G8 INSTRUMENT IS OPERATIONAL. NO FURTHER ACTION IS REQUIRED BY FIELD SERVICE. THE MOST PROBABLE CAUSE FOR HV3 ON THE L1 HAD HIGH RETENTION TIME ON THE STRECK QUALITY CONTROL WAS DEGRADED CONTROL MATERIAL.

Description of Event or Problem · 0

ON (B)(6) 2015, A CUSTOMER REPORTED THAT HV3 ON THE L1 HAD HIGH RETENTION TIME ON THE STRECK QUALITY CONTROL ON THE G8 INSTRUMENT. THE CUSTOMER STATED THERE WAS NO FLAG ON THE LT. THE CUSTOMER RAN PATIENT SAMPLES AND NO FLAGS APPEARED. TECHNICAL SUPPORT ADVISED THE CUSTOMER TO RUN CALIBRATION AS UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
204193 TOSOH HLC-723GA ANALYZER G8 G8 LCP TOSOH CORPORATION G8

Patients

Seq Age Sex Outcome Treatment
1