BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TOSOH HLC-723G8 ANALYZER G8

    MDR report key: 7366695 · Received March 23, 2018

    Report

    Report Number
    8031673-2018-03651
    Event Type
    Malfunction
    Date Received
    March 23, 2018
    Date of Event
    November 30, 2016
    Report Date
    March 23, 2018
    Manufacturer
    TOSOH CORPORATION
    Product Code
    LCP
    PMA / PMN Number
    K071132
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, 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. FSE (FIELD SERVICE ENGINEER) WAS DISPATCHED AND ON 02-DEC-2016 FOUND INJECTION VALVE TO BE CLOGGED. TRIED TO CLEAR OUT BUT REPLACED WITH NEW INJECTION VALVE. RAN CALIBRATION, QC (QUALITY CONTROL) AND PRECISION, ALL WITHOUT ERRORS. THE MOST PROBABLE CAUSE OF THE REPORTED EVENT WAS A CLOGGED INJECTION VALVE.

    Description of Event or Problem · 0

    ON (B)(6) 2016 THE CUSTOMER REPORTED GRINDING NOISE AND ERROR 706 L SYRINGE WITH THEIR HLC-723G8 ANALYZER. THE CUSTOMER IS UNABLE TO RUN HBA1C PATIENT SAMPLES. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO ADDRESS THE REPORTED EVENT, WHICH RESULTED IN DELAYED REPORTING HBA1C PATIENT RESULTS. THERE WAS NO INDICATION OF PATIENT INTERVENTION OR ADVERSE HEALTH CONSEQUENCES DUE TO THE DELAY IN REPORTING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    208705 TOSOH HLC-723G8 ANALYZER G8 G8 LCP TOSOH CORPORATION G8

    Patients

    Seq Age Sex Outcome Treatment
    1