FDA Adverse Event Malfunction Summary report: N

COBAS 6000 C501 MODULE

MDR report key: 1200095 · Received October 15, 2008

Report

Report Number
1823260-2008-07616
Event Type
Malfunction
Date Received
October 15, 2008
Date of Event
September 9, 2008
Report Date
October 15, 2008
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K060373
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Description of Event or Problem · 1

USER EXPERIENCED DISCREPANT CORTISOL RESULTS FOR ONE PATIENT. INITIAL RESULT 4.60 UG/DL, REPEAT 2008 GAVE 503.7 UG/DL. DOCTOR QUESTIONED THE INITIAL RESULT. HE INFORMED THE USER HE NEEDED ACCURATE INFORMATION TO CORRECTLY DIAGNOSE THE LOCATION OF A MALIGNANT TUMOR AND WAS UNABLE TO MAKE THE DIAGNOSIS AT THE TIME OF THE INITIAL RESULT. NO FURTHER INFORMATION IS AVAILABLE REGARDING THE PATIENT'S STATUS AT THIS TIME. THE FIELD SERVICE REPRESENTATIVE WAS UNABLE TO DETERMINE CAUSE OF THE DISCREPANT RESULTS. HE VERIFIED ANALYZER OPERATION BY RUNNING PATIENT SAMPLES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COBAS 6000 C501 MODULE CLINICAL CHEMISTRY ANALYZER - CEM JJE ROCHE DIAGNOSTICS C501

Patients

Seq Age Sex Outcome Treatment
1 UNK