FDA Adverse Event Malfunction Summary report: N

ELECSYS IL-6

MDR report key: 17385147 · Received July 24, 2023

Report

Report Number
1823260-2023-02452
Event Type
Malfunction
Date Received
July 24, 2023
Date of Event
June 25, 2023
Report Date
August 31, 2023
Manufacturer
ROCHE DIAGNOSTICS
Product Code
QLC
PMA / PMN Number
EUA
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION IS ONGOING. H3 OTHER TEXT : NA.

Additional Manufacturer Narrative · 0

THE ROOT CAUSE OF THE EVENT WAS FOUND TO BE CONSISTENT WITH PRE-ANALYTICAL SAMPLE HANDLING ISSUES. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS IL-6 RESULTS FOR 2 SAMPLES DRAWN FROM THE PATIENT AT THE SAME TIME AND RUN ON TWO COBAS 8000 - COBAS E 602 MODULES. ON (B)(6)2023, SAMPLE 1 HAD AN INITIAL RESULT OF 1.91 PG/ML ON ANALYZER SERIAL NUMBER (B)(6) IN THE LABORATORY REPORTING THE ISSUE. ON(B)(6)2023, THE SAMPLE WAS REPEATED ON THE SAME ANALYZER AND THE RESULT WAS 28.8 PG/ML. THE SAMPLE WAS ALSO REPEATED ON ANALYZER SERIAL NUMBER (B)(6) IN A DIFFERENT LABORATORY AND THE RESULT WAS 33.82 PG/ML. ON (B)(6)-2023, SAMPLE 2 HAD AN INITIAL RESULT OF 130.8 PG/ML ON ANALYZER SERIAL NUMBER (B)(6) IN THE OTHER LABORATORY. ON (B)(6)-2023, THE SAMPLE WAS REPEATED ON THE SAME ANALYZER AND THE RESULT WAS 180.6 PG/ML. THE SAMPLE WAS ALSO REPEATED ON THE ANALYZER SERIAL NUMBER (B)(6) IN THE REPORTING LABORATORY AND THE RESULT WAS 190.6 PG/ML.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
992632 ELECSYS IL-6 INTERLEUKIN 6 QLC ROCHE DIAGNOSTICS IL-6 62092801

Patients

Seq Age Sex Outcome Treatment
1 Unknown