FDA Adverse Event Malfunction Summary report: N

COBAS E 801 ANALYTICAL UNIT

MDR report key: 20977583 · Received December 19, 2024

Report

Report Number
1823260-2024-03750
Event Type
Malfunction
Date Received
December 19, 2024
Date of Event
December 1, 2024
Report Date
January 15, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K060373
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SF
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE EXPIRATION DATE FOR THE REAGENT WAS PROVIDED AS "JUN-2025". FURTHER INVESTIGATION WAS NOT POSSIBLE AS SAMPLE MATERIAL FROM THE PATIENT WAS NOT AVAILABLE. BASED ON THE PROVIDED INFORMATION, THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE SPECIFIC CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION WAS RECEIVED ALLEGING THE PATIENT WAS A 10-YEAR-OLD CHILD. CLARIFICATION WAS REQUESTED BUT HAS NOT YET BEEN RECEIVED. THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative · 0

THE REAGENT LOT NUMBER WAS 781598. THE EXPIRATION DATE WAS NOT PROVIDED. THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF QUESTIONABLE FT3 RESULTS FROM THE COBAS E 801 ANALYTICAL UNIT THAT DID NOT FIT THE PATIENT'S CLINICAL PICTURE. THE INITIAL RESULT WAS 10.2 PMOL/L AND THE REPEAT RESULT WAS 9.27 PMOL/L. ON (B)(6) 2024, THE SAMPLE WAS REPEATED ON AN ARCHITECT ANALYZER, AND THE RESULT WAS = <1.3 PMOL/L. THE SAMPLE WAS REPEATED ON A SIEMENS ANALYZER AND THE RESULT WAS 3.4 PMOL/L.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2097202 COBAS E 801 ANALYTICAL UNIT IMMUNOCHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS E801

Patients

Seq Age Sex Outcome Treatment
1 14 YR Female