FDA Adverse Event Malfunction Summary report: N

COBAS INTEGRA 800

MDR report key: 1191582 · Received October 1, 2008

Report

Report Number
1823260-2008-07299
Event Type
Malfunction
Date Received
October 1, 2008
Date of Event
September 3, 2008
Report Date
October 1, 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

USER EXPERIENCING LOW CK RESULTS FOR ONE PATIENT. PHYSICIAN QUESTIONED THE LOW CK RESULTS. THE RESULTS DID NOT FIT CLINICAL PICTURE. INITIAL RESULT GAVE <5 U/L; REPEAT ON DIFFERENT ANALYZER GAVE 15 U/L. A SECOND SAMPLE WAS OBTAINED THE NEXT DAY AND REPEATED TWICE GIVING 1 U/L EACH TIME. SAMPLE WAS REPEATED AN ADDITIONAL THREE TIMES, TWICE WITH DILUTION GIVING 2 U/L EACH TIME, AND ONCE WITHOUT DILUTION ON DIFFERENT ANALYZER GIVING 15 U/L. THE PATIENT WAS NOT TREATED BASED ON THE LOW CK RESULTS. IF ADDITIONAL INFORMATION IS RECEIVED, APPROPRIATE NOTIFICATION WILL BE PROVIDED.

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 27 YR PROZAC| PREDNISONE - 20 MG TID| TOPROL| CELLCEPT - 20 MG BID| PLAQUENIL| BENICAR| LASIX| PROTONIX