FDA Adverse Event Malfunction Summary report: N

ELECSYS 2010 DISK

MDR report key: 1003484 · Received February 21, 2008

Report

Report Number
1823260-2008-01749
Event Type
Malfunction
Date Received
February 21, 2008
Date of Event
January 28, 2008
Report Date
February 21, 2008
Manufacturer
ROCHE DIAGNOSTICS CORP.
Product Code
MMI
PMA / PMN Number
K961481
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ONE PT SAMPLE WITH DISCREPANT TROPONIN T RESULTS. INITIAL RESULT GAVE 1.38 NG/ML. SAME SAMPLE REQUESTED GAVE RESULT <0.010 NG/ML. SAMPLE REPEATED A THIRD TIME GAVE RESULT OF 1.41 NG/ML. A PLASMA TUBE FROM THE SAME PT DRAWN THE SAME DAY GAVE A RESULT OF 0.016 NG/ML. ERRONEOUS RESULTS WERE NOT REPORTED. THE FIELD SERVICE REP DETERMINED THERE WAS A PROBLEM WITH THE SAMPLE STATIC BRUSH AND REPLACED THE BRUSH. PERFORMANCE TEST WERE PERFORMED AND WITHIN SPECIFICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ELECSYS 2010 DISK IMMUNOCHEMISTRY ANALYZER -JJE MMI ROCHE DIAGNOSTICS CORP. 2010 DISK

Patients

Seq Age Sex Outcome Treatment
1 80 YR DIAZEPAM| ASPIRIN| TRIAMTE| NITROGLYCERIN| MORPHINE