The customer contacted the siemens customer care center (ccc) and allowed siemens remote service access.The ccc specialist reviewed the instrument data and discovered the customer had the instrument programmed to the setting of a 1:3 manual dilution performed.However, the customer did not perform a manual dilution of the sample before running it on the instrument.The ccc specialist determined the issue was caused by the incorrect settings programmed by the customer, after which was resolved by processing the specimen on the dimension vista without any manual dilution factors.The ccc stated the customer has reported no issues running samples when properly configured.The cause of the discordant, falsely elevated hba1c result is due to incorrectly set dilution factors.The instrument is performing according to specifications.No further evaluation of the device is required.
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A discordant, falsely elevated hemoglobin a1c (hba1c) result was obtained on a patient sample on a dimension vista 500 instrument.The initial discordant result was reported to the physician(s) who questioned it.The sample was repeated on the same dimension vista instrument, resulting lower and matching the patient clinical history.A corrected result was reported to the physician(s).There are no reports of patient intervention or adverse health consequences due to the discordant, falsely elevated hba1c result.
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