CREA plus, CREP2, LACT2, Lactate, GLU, TRIGL / TG, TRIGGS, TRIG / GB, CHOL / CHOL2, HDL-C plus 3rd generation / HDLC3, LDL_C plus 2nd generation / LDL_C. UA2 / UA plus - See Annex I (products and records). Potential customers affected - Annex II 의 안전성 경고

Agência Nacional de Vigilância Sanitária (ANVISA)에 따르면, 해당 안전성 경고 는 Brazil 에서 Roche Diagnóstica Brasil Ltda.; Roche Diagnostics GmBH 에 의해 제조된 제품과 관련되어 있습니다.

이것은 무엇인가요?

안전성 경고는 의료기기 제품과 관련된 중요한 정보와 권고사항을 담고 있습니다. 물론 안전성 경고가 배포되었다고 해서 해당 제품이 무조건 안전하지 않은 제품이라는 것은 아닙니다. 보건의료업계 종사자와 의료기기 사용자들에게 배포되는 안전성 경고에는 회수(recall)도 포함될 수 있습니다. 제조사가 안전성 경고를 작성하기도 하지만, 보건당국에서 작성하는 경우도 있습니다.

데이터에 대해 더 자세히 알아보기 여기
  • 사례 유형
    Safety alert
  • 사례 ID
    1612
  • 날짜
    2015-06-10
  • 사례 국가
  • 사례 출처
    ANVISA
  • 사례 출처 URL
  • 비고 / 경고
    Brazilian data is current through June 2018. All of the data comes from Anvisa, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of data from the U.S. and Brazil.
  • 데이터 추가 비고
    The manufacturer received a total of 6 complaints related to inadequately reduced test results based on Trinder's reaction to Acetaminophen and Metamizole. The frequency of occurrence is very remote, as the interference situation occurs only in certain rare circumstances, when there is insufficient waiting time between the administration of these drugs and collection of blood for the tests. The probability of occurrence of a Trinder test interference also depends on the frequency of use of the following medications: Paracetamol (acetaminophen), Metamizol (Novaminsulfone, dipyrone). Acetaminophen and Metamizole are two of the most commonly used analgesics. For both drugs relevant plasma concentrations leading to interferences are achieved directly following intravenous administration, during intravenous administration, or as a result of metabolic disturbances or drug abuse. Critical concentrations of acetaminophen occur due to accidental intoxication as well as intended to commit suicide.
  • 원인
    Roche diagnostics gmbh, the legal manufacturer of the products involved in this notification, is making changes to the interferon session of the reagent use instruction based on trinder reaction in order to warn of possible interference with the napqi metabolite of the drug acetaminophen, with the metamizole and with the acetaminophen antidote, nac. the trinder reaction is a colorimetric reaction between hydrogen peroxide, a phenolic derivative and aminoantipyrine catalyzed in the presence of peroxidase, and is the working mechanism of the tests involved in this release. roche diagnostica brasil has not been notified to date of any occurrence related to this interference in national territory.
  • 조치
    The company recommends considering: • The recovery of Trinder's tests may be falsely low when the sample is collected while NAC, NAPQI and Metamizol levels are still present; • Venous puncture should be performed prior to administration of Metamizol. Venous puncture performed immediately after or during the administration of Metamizol may lead to falsely low results. See Annex III

Manufacturer