MAUDE Adverse Event Report: ROCHE DIAGNOSTICS TINA-QUANT C-REACTIVE PROTEIN IV; C-REACTIVE PROTEIN TEST SYSTEM

Catalog Number	08057591190
Medical Device Problem Codes	High Test Results (2457); Non Reproducible Results (4029)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	01/21/2026
Type of Reportable Event	Malfunction
Event or Problem Description
There was an allegation of questionable tina-quant c-reactive protein iv (crp), total protein gen.2 (tp), and alkaline phosphatase acc.To ifcc gen.2 (alp) results for 2 patient samples on a cobas c 503 analytical unit.This medwatch will cover crp.Refer to medwatch with a1 patient identifier (b)(6) for information on the tp results and medwatch with a1 patient identifier (b)(6) for information on the alp results.The customer was prompted to repeat the patient samples as they looked like they had not been centrifuged.Sample 1 had an initial crp result of 0.362 mg/dl and an initial tp result of 10.6 g/dl.The repeat crp result was 0.62 mg/dl and the repeat tp result was 7.0 g/dl.Sample 2 had an initial alp result of 159 u/l.The repeat result was 88 u/l.The repeat results were deemed correct.No questionable results were reported outside of the laboratory.
Additional Manufacturer Narrative
The analyzer serial number is (b)(6).The investigation is ongoing.
Additional Manufacturer Narrative
Calibration was last performed on (b)(6) 2025.The alarm trace did not contain a conspicuous event.It was determined that the samples were not centrifuged before being tested.The root cause of the event was found to be consistent with pre-analytical sample handling issues.

• Brand Name: TINA-QUANT C-REACTIVE PROTEIN IV
• Common Device Name: C-REACTIVE PROTEIN TEST SYSTEM
• Manufacturer (Section D): ROCHE DIAGNOSTICS; 9115 hague road; indianapolis IN 46250 0457
• Manufacturer (Section G): ROCHE DIAGNOSTICS GMBH; sandhofer strasse 116; mannheim (baden-wurttemberg) 68305 ; GM 68305
• Manufacturer Contact: natalie catton ; 9115 hague road; indianapolis, IN 46250
• MDR Report Key: 24315639
• Report Number: 1823260-2026-00475
• Device Sequence Number: 11980638
• Product Code: DCN
• UDI-Device Identifier: 07613336121191
• UDI-Public: 07613336121191
• Combination Product (Y/N): N
• Initial Reporter State: AL
• Initial Reporter Country: US
• PMA/510(K) Number: K192072
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Health Professional,User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 03/27/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Expiration Date: 08/31/2026
• Device Catalogue Number: 08057591190
• Device Lot Number: 90624701
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 01/21/2026
• Supplement Date Received by Manufacturer: 03/05/2026
• Initial Report FDA Received Date: 02/11/2026
• Supplement Report FDA Received Date: 03/30/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Patient Sex: Unknown