FDA Adverse Event Malfunction Summary report: N

ELECSYS TROPONIN T HS

MDR report key: 17695135 · Received September 6, 2023

Report

Report Number
1823260-2023-02906
Event Type
Malfunction
Date Received
September 6, 2023
Date of Event
August 9, 2023
Report Date
October 26, 2023
Manufacturer
ROCHE DIAGNOSTICS
Product Code
MMI
PMA / PMN Number
K201441NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LU
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE ROOT CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative · 0

THE ANALYZER SERIAL NUMBER IS (B)(6). THE CALIBRATION AND QC DATA PROVIDED WAS ACCEPTABLE. THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS TROPONIN T HS ASSAY RESULTS FOR 1 PATIENT SAMPLE ON A COBAS E 801 MODULE. THE INITIAL TROPONIN RESULT WAS 303 NG/L. THE SAMPLE WAS REPEATED 3 TIMES AND THE RESULTS WERE 4.38 NG/L WITH FLAG, 4.42 NG/L, AND 4.11 NG/L WITH FLAG.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1560569 ELECSYS TROPONIN T HS IMMUNOASSAY METHOD, TROPONIN SUBUNIT MMI ROCHE DIAGNOSTICS 64240501

Patients

Seq Age Sex Outcome Treatment
1 29 YR Male