Rappel de ONLINE TDM Gentamicin. An in vitro diagnostic medical device (IVD)cobas c 501/502 modules

Selon Department of Health, Therapeutic Goods Administration, ce/cet/cette rappel concerne un dispositif en/au/aux/à Australia qui a été fabriqué par Roche Diagnostics Australia Pty Limited.

Qu'est-ce que c'est?

Une correction ou un retrait opéré par un fabricant afin de répondre à un problème causé par un dispositif médical. Les rappels surviennent lorsqu'un dispositif médical est défectueux, lorsqu'il pourrait poser un risque pour la santé, ou les deux à la fois.

En savoir plus sur les données ici
  • Type d'événement
    Recall
  • ID de l'événement
    RC-2017-RN-00374-1
  • Classe de risque de l'événement
    Class II
  • Date de mise en oeuvre de l'événement
    2017-03-20
  • Pays de l'événement
  • Source de l'événement
    DHTGA
  • URL de la source de l'événement
  • Notes / Alertes
    Australian data is current through July 2018. All of the data comes from the Australian Therapeutic Goods Administration, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of recall data from the U.S. and Australia.
  • Notes supplémentaires dans les données
  • Cause
    On 30 may 2016, customers using the online tdm gentamicin (gent2) assays were advised to stop using certain lots of the assay due to reports of increased recovery in patient results. (customers would also have received the customer bulletin reference number: cc16-029, notifying that the online tdm gentamicin assay was once again available for use following the implementation of a mandatory instrument factor (a = 0.8) and re-assignment of the tdm control set values.)several reports have since been received that after the instrument factor (if) was implemented, decreased recovery of patient results were observed. further internal investigations suggested that the if of 0.8 is incorrect, leading to decreased recovery of gentamicin results. this may lead to over dosage, which would cause potential toxic concentrations in patients.
  • Action
    Roche Diagnostics Australia (Roche) is requesting users NOT to implement the IF of 0.8 on cobas c 501/502/701/702 modules. Users are further requested to reset or leave the IF at1.0 and set the technical limit back to the original values. Roche has released re-assigned control values (which have to be implemented) via updated e-packages and would like to advise users that work a on a long term solution to correct the issue is still underway. Users are requested to follow further instructions as detailed in their recall notification letter.

Device

  • Modèle / numéro de série
    ONLINE TDM Gentamicin. An in vitro diagnostic medical device (IVD)cobas c 501/502 modulesMaterial Number: 04490843190cobas c 701/702 modulesMaterial Number: 05841291190ARTG Number: 174910
  • Manufacturer

Manufacturer