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Type of Product Medical Device
TGA Recall Reference RC-2016-RN-00983-1
Product Name/Description ADVIA Chemistry XPT System Software Test Definition (TDef) Version 1.0 disks. An in vitro diagnostic medical device (IVD)
(used with the haemoglobin A1c_3 automated pre-treatment assay intended for monitoring long-term glycaemic control of persons with diabetes).

Siemens Material Numbers: 11127343 and 11222123

ARTG Number: 175890
Recall Action Level Hospital
Recall Action Classification Class II
Recall Action Commencement Date 25/07/2016
Responsible Entity Siemens Healthcare Pty Ltd
Reason/Issue The system also allows reporting in either NGSP units (HbA1c% = %) or IFCC units (HbA1cR = mmol/mol). The ratio equation used to calculate ADVIA Chemistry Haemoglobin A1c_3 Automated Pretreatment (A1c_3) results in IFCC units contains an error. The error results in falsely depressed HbA1cR results. Available data indicates results may be depressed up to -62% (with an average of -18%). This issue does not impact HbA1cR results using manual pre-treatment or NGSP units.

Falsely depressed results may be considered clinically significant at clinically relevant HbA1c values. The risk to health is limited to a potential misinterpretation of glycaemic control or a delay in assessing long-term average hyperglycaemia. When this issue occurs, the potential discordance between average glycaemia and falsely depressed HbA1c values may be observed through personal glucose monitoring and/or patient symptoms.
Recall Action Recall for Product Correction
Recall Action Instructions Siemens is recommending retesting of patients with results above 35 mmol/mol that have been generated in the past 4 months and recommends discussing this issue with the laboratory director. Customers running the currently running the assay using Automated Pre-treatment and reporting results in IFCC units (mmol/mol) are advised to immediately discontinue reporting HbA1cR results. Siemens will be replacing the affected TDef disk with a corrected disk.

This action has been closed out on the 26/10/2018.
Contact Information 1800 310 300 - Siemens Technical Support Centre