FDA Adverse Event Malfunction Summary report: N

COBAS INTEGRA 800

MDR report key: 1424824 · Received April 22, 2009

Report

Report Number
1823260-2009-02873
Event Type
Malfunction
Date Received
April 22, 2009
Date of Event
April 3, 2009
Report Date
April 22, 2009
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K951595
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE FIELD SERVICE REP WAS UNABLE TO DETERMINED A CAUSE. HE CHECKED ALIGNMENT OF THE ROTOR, WORKSTATION ACCURACY, CLEANED ISE WASTE LINES, RAN ISE PERFORMANCE, CHECKED PROBES, TUBING, TUBE FITTING FOR ALL LINES ON THE FRONT PANEL. PERFORMED CHECK CASSETTE TESTS AND RAN QC TO VERIFY ANALYZER PERFORMANCE.

Description of Event or Problem · 1

USER RECEIVED 2 PT SAMPLES WITH ERRONEOUS RESULTS FOR MULTIPLE ASSAYS. THE FOLLOWING PT SAMPLE WAS DETERMINED TO BE DISCREPANT FOR AKALINE PHOSPHATASE (ALKP). INITIAL RESULT GAVE 409 U PER L. SAME SAMPLE WAS REPEATED FOUR TIMES USING SAME ANALYZER GIVING 153, 160, 157 AND 155 U PER L. THE INITIAL RESULTS WERE NOT REPORTED. THE REPEAT RESULTS WERE REPORTED. NO INFO PROVIDED TO DETERMINE WHICH REPEAT ALKP RESULT WAS REPORTED FOR THIS PT SAMPLE.

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