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The customer reported weak and apparently false negative test results with seraclone anti-k with donor units when incubated at room temperature for 5 minutes.When tests were repeated with washed red cells and the incubation time increased to 10 minutes at room temperature, the reactions were 1 positive.Qc was passed with heterozygous k positive cells.The customer did not provide patient samples that had caused the weak or negative reactions nor a product sample of seraclone anti-k for investigational testing.Therefore, our quality control laboratory tested their retention samples per the ifu.The potency (titer more or equal 1:512) met batch release acceptance criteria; positive specificity was confirmed (with k+k+ cells); negative specificity was confirmed with k-k+ cells, all negative.The reported issue could not be reproduced internally.The manufacturing and qc record reviews showed no deviations that could have impacted the quality of the product.The customer's qc passed, and a 3+ reaction was obtained with a positive heterozygous k panel cell, supporting that there is no product qc involvement.Donor phenotype profiles were not available from the customer; the ifu indicates that heterozygous k+k+ cells may show weaker reactions.Customer testing conditions included aged and variable donor units (from multiple blood centers and with different anticoagulants; one unit within approximately two weeks of expiry) and centrifugation settings were not aligned with the ifu (customer: 3000 rpm for 15 s used vs.Ifu recommendation for 20 s), which may contribute to weak reactions.Conclusion: the reagent is performing as intended.The most probable contributors are pre-analytical variables (sample age and/or improper reagent storage) and testing parameters deviating from the ifu.There is no evidence of a lot related quality defect.
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