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 |