FDA Adverse Event Malfunction Summary report: N

ELECSYS TROPONIN T HS

MDR report key: 18518519 · Received January 16, 2024

Report

Report Number
1823260-2024-00151
Event Type
Malfunction
Date Received
January 16, 2024
Date of Event
December 15, 2023
Report Date
February 2, 2024
Manufacturer
ROCHE DIAGNOSTICS
Product Code
MMI
PMA / PMN Number
K201441
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

NO ISSUES WERE IDENTIFIED DURING A REVIEW OF THE SAMPLE FOAM IMAGES (SFD). BASED ON THE INFORMATION PROVIDED, THE CAUSE OF THE EVENT COULD NOT BE DETERMINED. A GENERAL REAGENT ISSUE WAS EXCLUDED AS QC WAS WITHIN RANGE PRIOR TO THE EVENT. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.

Additional Manufacturer Narrative · 0

THE E801 MODULE SERIAL NUMBER WAS (B)(6). CALIBRATION AND QC WERE ACCEPTABLE. THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

THE INITIAL REPORTER COMPLAINED OF A DISCREPANT HIGH RESULT FOR 1 PATIENT SAMPLE TESTED FOR ELECSYS TROPONIN T HS (TROPONIN T HS) ON A COBAS 8000 E 801 MODULE. THE INITIAL RESULT WAS 89 NG/L. THE REPEAT RESULT WAS 18 NG/L. THE SAMPLE WAS REPEATED ON A DIFFERENT COBAS MODULE WITH A RESULT OF 17 NG/L.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
854264 ELECSYS TROPONIN T HS IMMUNOASSAY METHOD, TROPONIN SUBUNIT MMI ROCHE DIAGNOSTICS 688155

Patients

Seq Age Sex Outcome Treatment
1 Unknown