FDA Adverse Event Malfunction Summary report: N

COBAS 6000 C501 MODULE

MDR report key: 1051577 · Received May 19, 2008

Report

Report Number
1823260-2008-04140
Event Type
Malfunction
Date Received
May 19, 2008
Date of Event
April 24, 2008
Report Date
May 19, 2008
Manufacturer
ROCHE DIAGNOSTICS
Product Code
CEM
PMA / PMN Number
K060373
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THREE PTS WITH DISCREPANT CALCIUM RESULTS, INITIAL TESTING PERFORMED ON ANOTHER ANALYZER WITH SAME METHODOLOGY. PT 1, INITIAL RESULT 10.4 MG/DL, REPEAT 9.2 MG/DL. PT 2 INITIAL RESULT 8.8 MG/DL, REPEAT 9.9 MG/DL. PT 3 INITIAL RESULT 8.6 MG/DL, REPEAT 9.9 MG/DL. ERRONEOUS RESULTS WERE NOT REPORTED. THE FIELD SVC REP WAS UNABLE TO DETERMINE ROOT CAUSE. PERFORMANCE TESTS PERFORMED WHICH WERE WITHIN SPEC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COBAS 6000 C501 MODULE CLINICAL CHEMISTRY ANALYZER - CEM CEM ROCHE DIAGNOSTICS C501

Patients

Seq Age Sex Outcome Treatment
1 UNK