FDA Adverse Event Malfunction Summary report: N

COBAS E 801 ANALYTICAL UNIT

MDR report key: 19923002 · Received August 6, 2024

Report

Report Number
1823260-2024-02284
Event Type
Malfunction
Date Received
August 6, 2024
Date of Event
July 23, 2024
Report Date
August 6, 2024
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K060373
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PO
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE ESTRADIOL REAGENT LOT NUMBER WAS 791017. THE REAGENT EXPIRATION DATE WAS REQUESTED, BUT NOT PROVIDED. THE FIELD SERVICE ENGINEER DETERMINED THAT THE DEGASSER TRAP WAS COMPACTED AND THERE WAS A DAMAGED MEASURING CELL NOZZLE. THE DEGASSER TRAP AND NOZZLE WERE REPLACED. THE ISSUE WAS RESOLVED AFTER THESE ACTIONS. THE INVESTIGATION DETERMINED THE SERVICE ACTIONS RESOLVED THE ISSUE.

Description of Event or Problem · 0

THE INITIAL REPORTER STATED THEY RECEIVED DISCREPANT RESULTS FOR TWO PATIENT SAMPLES TESTED WITH ELECSYS ESTRADIOL III ON A COBAS E 801 ANALYTICAL UNIT. THE FIRST SAMPLE INITIALLY RESULTED IN AN ESTRADIOL VALUE OF < 5.00 NG/L. THE SAMPLE WAS REPEATED TWICE, RESULTING IN VALUES OF 13.4 NG/L AND 15.7 NG/L. THE SECOND SAMPLE INITIALLY RESULTED IN AN ESTRADIOL VALUE OF < 5.00 NG/L ON (B)(6) 2024. THE SAMPLE WAS REPEATED ON (B)(6) 2024, RESULTING IN A VALUE OF 42.2 NG/L.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1561269 COBAS E 801 ANALYTICAL UNIT IMMUNOCHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown