FDA Adverse Event Malfunction Summary report: N

ELECSYS ANTI-CCP IMMUNOASSAY

MDR report key: 10647700 · Received October 8, 2020

Report

Report Number
1823260-2020-02486
Event Type
Malfunction
Date Received
October 8, 2020
Date of Event
September 18, 2020
Report Date
December 3, 2020
Manufacturer
ROCHE DIAGNOSTICS
Product Code
NHX
PMA / PMN Number
K081338
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED. NO INTERFERING FACTOR WAS DETECTED IN THE SAMPLE. PRODUCT LABELING FOR THE ASSAY STATES "THE MEASURED ANTI CCP VALUE OF A PATIENT¿S SAMPLE CAN VARY DEPENDING ON THE TESTING PROCEDURE USED. THE LABORATORY FINDING MUST THEREFORE ALWAYS CONTAIN A STATEMENT ON THE ANTI CCP ASSAY METHOD USED. ANTI CCP VALUES DETERMINED ON PATIENT SAMPLES BY DIFFERENT TESTING PROCEDURES CANNOT BE DIRECTLY COMPARED WITH ONE ANOTHER AND COULD BE THE CAUSE OF ERRONEOUS MEDICAL INTERPRETATIONS."

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

THE INITIAL REPORTER RECEIVED QUESTIONABLE HIGH ELECSYS ANTI-CCP IMMUNOASSAY RESULTS FOR AN UNKNOWN NUMBER OF PATIENT SAMPLES FROM A COBAS 6000 E601 MODULE. ONE EXAMPLE WAS PROVIDED OF A PATIENT WITH AN ELECSYS ANTI-CCP RESULT OF 66 U/ML WHEREAS WITH COMPETITOR ASSAYS, THE ANTI-CCP-ABS, AS WELL AS ANTI-MCV-ABS RESULTS, WERE NEGATIVE. THE CLINICAL EXPECTATION WAS A NEGATIVE RESULT FOR ANTI-CCP. IT WAS REQUESTED, BUT IT WAS NOT KNOWN IF ANY QUESTIONABLE RESULT WAS REPORTED OUTSIDE OF THE LABORATORY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1113014 ELECSYS ANTI-CCP IMMUNOASSAY ANTIBODIES, ANTI-CYCLIC CITRULLINATED PEPTIDE (CCP) NHX ROCHE DIAGNOSTICS NA ASKU

Patients

Seq Age Sex Outcome Treatment
1