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While at the customer's site, the field service engineer (fse) confirmed the reported issue by reviewing the results of the american proficiency institute (api) proficiency test.The fse was unable to rerun the samples because it was past 48 hours from receiving the samples and they were no longer useable.The fse checked the nozzle for contamination, cleaned all wash probes and confirmed that all temperatures were in range.Tosoh ipth controls were sent to the customer for further testing and both qc levels were in range, and no run errors occurred.The customer will reach out to an fse prior to their next api proficiency testing to decontaminate the instrument before samples are run.No further action required by field service.The aia-2000 analyzer is functioning as expected.A 13-month complaint history review and service history review for similar complaints was performed for serial number (b)(6) from february 05, 2025 through aware date of march 05, 2026.There were three similar complaints identified during the search period, including this case.A 13-month complaint and service history review for similar complaints was performed for failure mode "pth lot # f7152c5" on the aia-2000 analyzer from february 05, 2025 through aware date march 05, 2026.There were no similar complaints identified during the search period.The analyte applicate manual for intact parathyroid hormone (ipth) states the following: specimen collection and handling serum or edta plasma is required for the assay.Heparinized or citrated plasma should not be used.When using serum, a venous blood sample is collected aseptically without additives.Store at 18 - 25 °c until a clot has formed (usually 15 - 45 minutes), then centrifuge to obtain the serum specimen for assay.If using edta plasma, a venous blood sample is collected aseptically with designated additive.Centrifuge and separate plasma from the packed cells as soon as possible.Specimen types should not be used interchangeably during the serial monitoring of an individual patient.Measured concentrations may vary slightly between sample types in certain patients.Specimen may be stored at 2 - 8 °c for up to 24 hours prior to analysis.If the analysis cannot be done within 24 hours, the sample should be stored frozen at -20 °c or below for up to 60 days.Repeated freeze-thaw cycles should be avoided.Turbid serum samples or samples containing particulate matter should be centrifuged prior to testing.Prior to assay, bring frozen samples to 18- 25 °c slowly and mix gently.The sample required for analysis is 75 ¿l limitations of the procedure for diagnostic purposes, the results obtained from this assay should be used in conjunction with other data (e.G., symptoms, results of other tests, clinical impressions, therapy, etc.).Using st aia-pack intact pth, the highest concentration of intact parathyroid hormone measurable without dilution is approximately 2,000 pg/ml, and the lowest measurable concentration is 1.0 pg/ml (assay sensitivity).The exact linearity of the st aia-pack intact pth depends on the particular lot of calibrator in use.Although the approximate value of the highest calibrator is 2,200 pg/ml, the exact concentration may be slightly different.The assay specification, assay range high, should be defined as the upper limit of the assay range, 2000 pg/ml.Although hemolysis has an insignificant effect on the assay, hemolyzed samples may indicate mistreatment of a specimen prior to assay and results should be interpreted with caution.Lipemia has an insignificant effect on the assay except in the case of gross lipemia where spatial interference may occur.Specimens from patients who have received preparations of goat polyclonal antibodies for diagnosis or therapy may contain human anti-goat antibodies.Such specimens may show falsely elevated values when tested for intact parathyroid hormone.Certain medications may interfere with assay performance.Specimens from patients taking medicines and/or medical treatment may show erroneous results.All results should be interpreted with respect to the clinical picture of the patient.The most probable cause of the reported event could not be established.
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