FDA Adverse Event Malfunction Summary report: N

COBAS 6000 C501 MODULE

MDR report key: 20052220 · Received August 23, 2024

Report

Report Number
1823260-2024-02464
Event Type
Malfunction
Date Received
August 23, 2024
Date of Event
August 8, 2024
Report Date
August 23, 2024
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
UDI-DI
04015630924707
PMA / PMN Number
K060373
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE ELECTRODE LOT NUMBER AND EXPIRATION DATE WERE NOT PROVIDED. THE FIELD SERVICE ENGINEER PERFORMED ISE AND SIPPER CIRCUIT CLEANING. HE RAN CALIBRATION AND A PRECISION CHECK. THE INVESTIGATION DID NOT IDENTIFY THE SPECIFIC CAUSE OF THE EVENT. THE ISSUE APPEARED TO BE RESOLVED BY THE SERVICE ACTIONS.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF QUESTIONABLE SODIUM RESULTS FROM THE COBAS 6000 C501 MODULE. THE SAMPLE RESULTS WERE HIGH, SO THE CUSTOMER REPEATED THEM ON ANOTHER C 311 SYSTEM OR THE SAME COBAS C 501. AN EXAMPLE WAS PROVIDED OF AN INITIAL RESULT OF 160 MMOL/L AND REPEAT RESULTS OF 160, 145, AND 150 MMOL/L. THE QUESTIONABLE RESULTS WERE NOT REPORTED OUTSIDE OF THE LABORATORY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1743173 COBAS 6000 C501 MODULE CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS 04015630924707

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown