FDA Adverse Event Malfunction Summary report: N

COBAS C 303 ANALYTICAL UNIT

MDR report key: 17636320 · Received August 28, 2023

Report

Report Number
1823260-2023-02788
Event Type
Malfunction
Date Received
August 28, 2023
Date of Event
July 31, 2023
Report Date
October 12, 2023
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K220134
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INITIAL RESULTS WERE DEEMED NOT CLINICALLY POSSIBLE AS THE ALBUMIN RESULT WAS HIGHER THAN THE TOTAL PROTEIN RESULT. THE FIELD SERVICE ENGINEER CHANGED THE PROBES, SYRINGE AND THE GEAR-PUMP HEAD (GPH). HE READJUSTED THE WHOLE SYSTEM AND CONFIRMED THAT THE ASSAY AND THE MODULE WERE PERFORMING WITHIN SPECIFICATIONS. THE INVESTIGATION DETERMINED THAT THE EVENT WAS CAUSED BY A SERVICE-TRAINING-RELATED ISSUE. AFTER SERVICE, NO FURTHER ISSUES WERE REPORTED BY THE CUSTOMER. THE INVESTIGATION DETERMINED THE SERVICE ACTIONS RESOLVED THE ISSUE.

Additional Manufacturer Narrative · 0

THE REAGENT LOT NUMBER IS 717298. THE EXPIRATION DATE IS 31-OCT-2024. THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

THE INITIAL REPORTER RECEIVED A QUESTIONABLE ALBP ALBUMIN BCP RESULT FROM ONE PATIENT SAMPLE TESTED ON THE COBAS PURE C 303 ANALYTICAL UNIT. THE INITIAL RESULT WAS NOT REPORTED OUTSIDE OF THE LABORATORY AS IT WAS DEEMED NOT CLINICALLY POSSIBLE. THE INITIAL RESULT WAS 86.5. THE REPEAT RESULT WAS 35.0. THE UNIT OF MEASUREMENT WAS NOT PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1338585 COBAS C 303 ANALYTICAL UNIT CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1 Unknown