BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ELECSYS C-PEPTIDE

    MDR report key: 10515500 · Received September 10, 2020

    Report

    Report Number
    1823260-2020-02232
    Event Type
    Malfunction
    Date Received
    September 10, 2020
    Date of Event
    August 14, 2020
    Report Date
    November 24, 2020
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    JKD
    PMA / PMN Number
    EXEMPT
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SP
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 0

    ON (B)(6) 2020, THE PATIENT HAD A NEW SAMPLE COLLECTED. THE CUSTOMER PERFORMED ELECSYS INSULIN AND ELECSYS C-PEPTIDE TESTING ON A COBAS 8000 E 602 MODULE AND A SIEMENS IMMULITE 2000 ANALYZER. THE PATIENT'S RESULTS ON THE E 602 MODULE WERE INSULIN 57.45 UU/ML, C-PEPTIDE 1.44 NG/ML, MOLAR RATIO INSULIN/C-PEPTIDE 0.83, AND PEG RECOVERY 8%. THE PATIENT'S RESULTS ON THE SIEMENS IMMULITE 2000 ANALYZER WERE INSULIN 55.6 MCU/ML, C-PEPTIDE 1.05 NG/ML, AND MOLAR RATIO INSULIN/C-PEPTIDE 1.15. NO QUESTIONABLE RESULTS WERE REPORTED OUTSIDE THE LABORATORY AND NO ADVERSE EVENTS OCCURRED.

    Additional Manufacturer Narrative · 0

    INTERNAL METHOD COMPARISON DATA CONFIRM THE TENDENCY OF HIGHER RECOVERY OF THE ELECSYS C-PEPTIDE COMPARED TO SIEMENS IMMUNLITE C-PEPTIDE. IT NEEDS TO BE TAKEN INTO ACCOUNT THAT ASSAYS FROM DIFFERENT VENDORS CAN GENERATE DIFFERENT VALUES. THIS RELATES TO THE OVERALL SETUPS OF THE ASSAYS, THE ANTIBODIES USED AND, DIFFERENCES IN REFERENCE MATERIALS/METHODS AND THE STANDARDIZATION METHODOLOGY USED. ADDITIONALLY, SINGLE MEASUREMENTS CAN STATISTICALLY DEVIATE AND ARE NOT USEFUL TO DEMONSTRATE A GENERAL DIFFERENCE BETWEEN METHODS. FURTHER SAMPLE INVESTIGATIONS WERE NOT POSSIBLE BASED ON THE LACK OF REMAINING SAMPLE. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

    Additional Manufacturer Narrative · 1

    PHONE (B)(6). THIS EVENT OCCURRED IN (B)(6). THE INVESTIGATION IS ONGOING.

    Description of Event or Problem · 1

    THE INITIAL REPORTER RECEIVED QUESTIONABLE ELECSYS C-PEPTIDE RESULTS FOR ONE PATIENT TESTED ON A COBAS 8000 E 602 MODULE SERIAL NUMBER: (B)(4). THE CUSTOMER ALSO PERFORMED TESTING ON A SIEMENS IMMULITE 2000 ANALYZER TO COMPARE RESULTS AND TO DETECT ANY SAMPLE OR REAGENT INTERFERENCES. THE QUESTIONABLE RESULTS WERE REPORTED OUTSIDE THE LABORATORY. REFER TO THE ATTACHMENT FOR ALL PATIENT DATA. THIS MEDWATCH IS FOR ELECSYS C-PEPTIDE. REFER TO MEDWATCH WITH PATIENT IDENTIFIER: (B)(6) FOR THE ELECSYS INSULIN ASSAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    983666 ELECSYS C-PEPTIDE C-PEPTIDES OF PROINSULIN TEST SYSTEM JKD ROCHE DIAGNOSTICS NA ASKU

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR