FDA Adverse Event Malfunction Summary report: N

AMH ELECSYS E2G 100

MDR report key: 19165279 · Received April 23, 2024

Report

Report Number
1823260-2024-01247
Event Type
Malfunction
Date Received
April 23, 2024
Date of Event
January 17, 2023
Report Date
May 13, 2024
Manufacturer
ROCHE DIAGNOSTICS
Product Code
PQO
PMA / PMN Number
DEN150057
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE SERIAL NUMBER OF THE E601 ANALYZER IS (B)(6) . THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative · 0

THE INVESTIGATION COULD NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED. A GENERAL REAGENT ISSUE CAN BE RULED OUT.

Description of Event or Problem · 0

THE INITIAL REPORTER STATED THEY RECEIVED A QUESTIONABLE RESULT FOR ONE PATIENT SAMPLE TESTED WITH ELECSYS AMH ON A COBAS 6000 E601 MODULE. THE CLINICIAN DID NOT AGREE WITH THE MEASURED SAMPLE VALUE. THE SAMPLE RESULTED IN AN AMH VALUE OF 0.22 NG/ML. AFTER THE LOW VALUE, THE PATIENT WAS TREATED WITH PREGOVERIN. ON (B)(6) 2024, ANOTHER SAMPLE FROM THE PATIENT WAS TESTED, RESULTING IN AN AMH VALUE OF 4.67 NG/ML. THE CLINICIAN SUSPECTED THE VALUE FROM (B)(6) 2024 TO BE INCORRECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
941993 AMH ELECSYS E2G 100 ANTI-MÜLLERIAN HORMONE TEST SYSTEM PQO ROCHE DIAGNOSTICS 626160

Patients

Seq Age Sex Outcome Treatment
1 NA Female