FDA Adverse Event Malfunction Summary report: N

COBAS 6000 C501 MODULE

MDR report key: 1901377 · Received November 17, 2010

Report

Report Number
1823260-2010-06794
Event Type
Malfunction
Date Received
November 17, 2010
Date of Event
November 1, 2010
Report Date
November 17, 2010
Manufacturer
ROCHE DIAGNOSTICS
Product Code
CEK
PMA / PMN Number
K060373
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Description of Event or Problem · 1

THE USER RECEIVED QUESTIONABLE RESULTS FOR TOTAL PROTEIN GENERATION 2 (TP2) ON THE COBAS C501 ANALYZER. THE EVENT INVOLVED 7 PATIENT SAMPLES WHICH GAVE DISCREPANT RESULTS. THE PATIENT SAMPLES WERE REPEATED ON (B)(6) 2010 AND WERE RUN ON A DIFFERENT C501 ANALYZER SERIAL NUMBER (B)(4). PATIENT SAMPLE 1, THE INITIAL RESULT WAS 2.3 G/DL; THE REPEAT RESULT WAS 8.4 G/DL. PATIENT SAMPLE 2, THE INITIAL RESULT WAS 2.3 G/DL; THE REPEAT RESULT WAS 7.7 G/DL. PATIENT SAMPLE 3, THE INITIAL RESULT WAS 2.3 G/DL; THE REPEAT RESULT WAS 6.7 G/DL. PATIENT SAMPLE 4, THE INITIAL RESULT WAS 2.4 G/DL; THE REPEAT RESULT WAS 8.3 G/DL. PATIENT SAMPLE 5, THE INITIAL RESULT WAS 2.4 G/DL; THE REPEAT RESULT WAS 5.4 G/DL. PATIENT SAMPLE 6, THE INITIAL RESULT WAS 2.3 G/DL; THE REPEAT RESULT WAS 5.7 G/DL. PATIENT SAMPLE 7, THE INITIAL RESULT WAS 2.4 G/DL; THE REPEAT RESULT WAS 7.4 G/DL. THE INITIAL RESULTS WERE REPORTED OUTSIDE THE LABORATORY TO THE PHYSICIANS AND REQUIRED CORRECTED REPORTS TO BE GENERATED. THE PATIENTS DID NOT RECEIVE ANY TREATMENT AND WERE NOT AFFECTED BY THIS EVENT. THE REAGENT LOT NUMBER FOR TP2 WAS NOT PROVIDED. THE FIELD SERVICE REPRESENTATIVE FOUND AN ISSUE WITH THE GEAR PUMP. HE ADJUSTED GEAR PUMP PRESSURES. PERFORMANCE TESTS WERE RUN WHICH WERE ACCEPTABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COBAS 6000 C501 MODULE CLINICAL CHEMISTRY ANALYZER CEK ROCHE DIAGNOSTICS NA NA

Patients

Seq Age Sex Outcome Treatment
1