FDA Adverse Event Malfunction Summary report: N

TOSOH HLC-723G8 ANALYZER G8

MDR report key: 7366744 · Received March 23, 2018

Report

Report Number
8031673-2018-03662
Event Type
Malfunction
Date Received
March 23, 2018
Date of Event
April 29, 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
TX, 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. ON 03-MAY-2016 TS (TECHNICAL SUPPORT) TALKED TO THE CUSTOMER TO VERIFY G8 RS232 SETTING ON EACH OF THEIR G8'S. THEY TRANSMIT TO A DI (DATA INNOVATIONS) LANTRONICS BOX WHICH IS CONNECTED TO THEIR VISTA. ON 04-MAY-2016 TS FOLLOW UP CALL AND FOUND THAT THE G8 DID WORK PREVIOUSLY BUT NOT NOW. ON 05-MAY-2016 TS RECEIVED A CALL FROM THE CUSTOMER WHO REPORTED THAT IT WAS DISCOVERED THAT THE G8 WHICH WAS NOT TRANSMITTING, WAS TRANSMITTING ALL FRACTIONS BUT THE SA1C. WHEN TS CALLED BACK TO REQUEST THE TRACINGS, THE CUSTOMER REPORTED THAT IT WAS NOW TRANSMITTING AND ISSUE WAS RESOLVED BY CHANGING DI DRIVER SETTINGS. THE MOST PROBABLE CAUSE OF THE REPORTED EVENT WERE INCORRECT DRIVER SETTINGS.

Description of Event or Problem · 0

ON (B)(6) 2016 THE CUSTOMER REPORTED INTERMITTENT COMMUNICATION WITH THEIR HLC-723G8 ANALYZER. CUSTOMER REPORTED THAT G8 #1 IS SENDING TO THE DI (DATA INNOVATIONS) BUT NOT #2 AND BOTH HAVE THE SAME SETTINGS. THE CUSTOMER IS UNABLE TO RUN HBA1C PATIENT SAMPLES. 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
209697 TOSOH HLC-723G8 ANALYZER G8 G8 LCP TOSOH CORPORATION G8

Patients

Seq Age Sex Outcome Treatment
1