FDA Adverse Event Malfunction Summary report: N

ELECSYS DHEA-S

MDR report key: 11679637 · Received April 16, 2021

Report

Report Number
1823260-2021-01161
Event Type
Malfunction
Date Received
April 16, 2021
Date of Event
March 18, 2021
Report Date
May 26, 2021
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JKC
PMA / PMN Number
K003174
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE CALIBRATION AND QC WERE ACCEPTABLE. FURTHER INVESTIGATIONS WERE PERFORMED ON THE PATIENT SAMPLE. A STREPTAVIDIN INTERFERING FACTOR WAS CONFIRMED WITHIN THE SAMPLE LEADING TO FALSE-HIGH RESULTS FOR ELECSYS DHEA-S. PRODUCT LABELING STATES: IN RARE CASES, INTERFERENCE DUE TO EXTREMELY HIGH TITERS OF ANTIBODIES TO ANALYTE-SPECIFIC ANTIBODIES, STREPTAVIDIN OR RUTHENIUM CAN OCCUR. THESE EFFECTS ARE MINIMIZED BY SUITABLE TEST DESIGN. THE PRODUCT MEETS SPECIFICATIONS.

Additional Manufacturer Narrative · 1

THIS INVESTIGATION IS ONGOING. THIS EVENT OCCURRED IN (B)(6) . UNIQUE IDENTIFIER (UDI) #: (B)(4).

Description of Event or Problem · 1

THE INITIAL REPORTER RECEIVED QUESTIONABLE ELECSYS DHEA-S AND ELECSYS FT3 III RESULTS FOR ONE PATIENT WITH THE COBAS E 801 MODULE SERIAL NUMBER (B)(4) COMPARED TO TWO DIFFERENT COMPETITORS' ANALYZERS. THIS MEDWATCH WILL COVER DHEA-S. REFER TO MEDWATCH WITH PATIENT IDENTIFIER (B)(6) FOR INFORMATION ON THE FT3 III RESULTS. THE DHEA-S RESULT FROM THE E801 WAS 4.42 UG/ML. THE RESULT FROM THE SIEMENS ANALYZER WAS 1.66 UG/ML. THE QUESTIONABLE RESULT WAS REPORTED OUTSIDE OF THE LABORATORY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
580271 ELECSYS DHEA-S DEHYDROEPIANDROSTERONE TEST SYSTEM JKC ROCHE DIAGNOSTICS DHEAS 463341

Patients

Seq Age Sex Outcome Treatment
1 55 YR