FDA Adverse Event Malfunction Summary report: N

COBAS 8000 C 702 MODULE

MDR report key: 20777480 · Received November 26, 2024

Report

Report Number
1823260-2024-03422
Event Type
Malfunction
Date Received
November 26, 2024
Date of Event
October 29, 2024
Report Date
November 25, 2024
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K100853
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE REAGENT LOT NUMBER IS 823649 WITH AN EXPIRATION DATE OF 30-SEP-2025. THE (B)(6) 2024 CALIBRATION AND QC WERE ACCEPTABLE. A GENERAL REAGENT ISSUE WAS EXCLUDED. THE ALARM TRACE SHOWED A CALIBRATION ERROR ALARM ON THE DAY OF THE EVENT. THE FIELD SERVICE REPRESENTATIVE CHECKED THE INSTRUMENT. HE FOUND LOW PRESSURE IN THE GEAR PUMP HEAD AND PERFORMED ADJUSTMENTS. THE INVESTIGATION DETERMINED THE SERVICE ACTIONS RESOLVED THE ISSUE.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF QUESTIONABLE URIC ACID VER.2 RESULTS FOR 4 PATIENT SAMPLES ON A COBAS 8000 C 702 MODULE. PATIENT 1: THE INITIAL RESULT WAS 0.05 MG/DL AND THE REPEATED RESULT WAS 4.18 MG/DL. PATIENT 2: THE INITIAL RESULT WAS 0.25 MG/DL AND THE REPEATED RESULT WAS 2.57 MG/DL. ON 12-NOV-2024 IT WAS REPORTED THAT 2 ADDITIONAL PATIENT SAMPLES HAD QUESTIONABLE RESULTS AFTER THE INITIAL SERVICE VISIT. THE DATES THE SAMPLES WERE TESTED WERE NOT PROVIDED. PATIENT 3: THE INITIAL RESULT WAS 0.02 MG/DL AND THE REPEATED RESULT WAS 1.72 MG/DL. PATIENT 4: THE INITIAL RESULT WAS 1.32 MG/DL AND THE REPEATED RESULT WAS 6.64 MG/DL. THE REPEATED RESULTS WERE OBTAINED ON ANOTHER MODULE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1630217 COBAS 8000 C 702 MODULE CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown