FDA Adverse Event
Malfunction
Summary report: N
COBAS INTEGRA 800
MDR report key: 1070028
·
Received July 3, 2008
Report
- Report Number
- 1823260-2008-05202
- Event Type
- Malfunction
- Date Received
- July 3, 2008
- Date of Event
- June 12, 2008
- Report Date
- July 3, 2008
- Manufacturer
- ROCHE DIAGNOSTICS
- Product Code
- JJE
- PMA / PMN Number
- K951595
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
FOUR PTS WITH DISCREPANT SODIUM RESULTS. PT 1, INITIAL RESULT 131 MMOL/L, REPEATED TWICE GAVE 139 (DIFFERENT METHODOLOGY) AND 137 MMOL/L. PT 2, INITIAL RESULT 133 MMOL/L, REPEATED THREE TIMES GAVE 138 (DIFFERENT METHODOLOGY), 139 AND 138 MMOL/L. PT 3, INITIAL RESULT OF 131 MMOL/L, REPEATED TWICE GAVE 140 (DIFFERENT METHODOLOGY) AND 137 MMOL/L. PT 4, INITIAL RESULT 133 MMOL/L, REPEATED TWICE GAVE 139 (DIFFERENT METHODOLOGY) AND 138 MMOL/L. ERRONEOUS RESULTS WERE NOT REPORTED. USER PERFORMED RECOMMENDED MAINTENANCE AND TROUBLESHOOTING WHICH INCLUDED ELECTRODE ETCHING AND ISE TUBING CONDITIONING THAT RESOLVED THE ISSUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | COBAS INTEGRA 800 | CLINICAL CHEMISTRY ANALYZER -JJE | JJE | ROCHE DIAGNOSTICS | I800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |