FDA Adverse Event Malfunction Summary report: N

ELECYS 2010 RACK

MDR report key: 1140543 · Received August 28, 2008

Report

Report Number
1823260-2008-06524
Event Type
Malfunction
Date Received
August 28, 2008
Date of Event
August 1, 2008
Report Date
August 28, 2008
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K961481
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Description of Event or Problem · 1

USER EXPERIENCED INTERMITTENT DISCREPANT TOTAL PSA RESULTS, APPROXIMATELY ONE PER DAY FOR SEVERAL DAYS. TODAY THERE WERE APPROXIMATELY ELEVEN PATIENTS INVOLVED. ONLY THREE PATIENT EXAMPLES WERE PROVIDED. PATIENT 1, INITIAL RESULT <0.1 NG/ML, REPEAT 1.1 NG/ML. PATIENT 2, INITIAL RESULT <0.1 NG/ML, REPEATED TWICE GAVE 23.0 NG/ML BOTH TIMES. PATIENT 3, INITIAL RESULT <0.1 NG/ML, REPEAT 6.6 NG/ML. INITIAL RESULTS WERE NOT REPORTED. THE FIELD SERVICE REPRESENTATIVE DETERMINED A BENT MIXER PADDLE TO BE THE CAUSE AND STRAIGHTENED OUT MIXER PADDLE. HE ALSO PERFORMED ALL MIXER, S/R PROBE, SIPPER PROBE RACK SAMPLER AND GRIPPER ADJUSTMENTS. ADDITIONALLY, THE FIELD SERVICE REPRESENTATIVE NOTED CUSTOMER WAS USING 13 MM TUBES AND ADVISED CUSTOMER TO USE RACK CUP ADAPTERS IN RACKS FOR MORE CONSISTENT SAMPLING. PERFORMANCE TESTS WERE PERFORMED WHICH WERE WITHIN SPECIFICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ELECYS 2010 RACK IMMUNOCHEMISTRY ANALYZER - JJE JJE ROCHE DIAGNOSTICS 2010 RACK

Patients

Seq Age Sex Outcome Treatment
1 UNK