FDA Adverse Event Malfunction Summary report: N

COBAS INTEGRA 400 PLUS

MDR report key: 1652430 · Received April 7, 2010

Report

Report Number
1823260-2010-02043
Event Type
Malfunction
Date Received
April 7, 2010
Date of Event
March 19, 2010
Report Date
April 7, 2010
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JGS
PMA / PMN Number
K951595
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Description of Event or Problem · 1

CUSTOMER EXPERIENCED ISE REPRODUCIBILITY PROBLEMS FOR APPROXIMATELY ONE WEEK. SHE PROVIDED SODIUM RESULTS FOR TWO PATIENT SAMPLES, REPEAT TESTING PERFORMED ON SAME ANALYZER: PATIENT 1, PLASMA SAMPLE, INITIAL SODIUM RESULT 135 MMOL/L, REPEATED 11 TIMES GAVE: 130 (ACCOMPANIED BY L DATA FLAG), 132 (ACCOMPANIED BY L DATA FLAG), 139, 136, 134, 133, 140, 134, 133 (ACCOMPANIED BY L DATA FLAG), 132 (ACCOMPANIED BY L DATA FLAG) AND 134 MMOL/L. PATIENT 1, SERUM SAMPLE DRAWN AT SAME TIME AS PLASMA SAMPLE, INITIAL SODIUM RESULT 141 MMOL/L, REPEATED 4 TIMES GAVE 140 MMOL/L EACH TIME. PATIENT 2, MALE, (B)(6), INITIAL SODIUM RESULT 134 MMOL/L, REPEATED 5 TIMES GAVE 140, 137, 138, 139 AND 138 MMOL/L. THE INITIAL SODIUM RESULTS WERE NOT REPORTED, THE PATIENTS WERE NOT AFFECTED. SODIUM ELECTRODED LOT # WAS 21593518. THE FIELD SERVICE REPRESENTATIVE FOUND THE CAUSE WAS PRESSURE FAILURE DUE TO MISADJUSTED AIR MIX/AIR DRY ON ISE UNIT. HE ADJUSTED AIR MIX/AIR DRY. THE CUSTOMER RAN CALIBRATION AND QC WHICH WAS WITHIN CUSTOMER'S SPECIFICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COBAS INTEGRA 400 PLUS CLINICAL CHEMISTRY ANALYZER JGS ROCHE DIAGNOSTICS NA NA

Patients

Seq Age Sex Outcome Treatment
1 046 YR BUPROPION HCL| TOPIRAMATE| LEVOTHYROXIN SODIUM