FDA Adverse Event Malfunction Summary report: N

COBAS 8000 C 702 MODULE

MDR report key: 21113326 · Received January 9, 2025

Report

Report Number
1823260-2025-00066
Event Type
Malfunction
Date Received
January 9, 2025
Date of Event
December 13, 2024
Report Date
January 30, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K100853
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
EZ
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SECTIONS D1, D2A, D2B, D4, G1 AND G4 WERE UPDATED. THE REACTION CURVE OF THE INITIAL RESULT WAS NOT NORMAL WHICH PROVIDED A HINT OF MEASUREMENT DISTURBANCES. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT WAS DUE TO AN ENVIRONMENTAL ISSUE WHERE VERY BAD DUSTY CONDITIONS WERE IDENTIFIED AT THE CUSTOMER'S SITE.

Additional Manufacturer Narrative · 0

THE GLUC3 REAGENT LOT NUMBER WAS 812051. THE EXPIRATION DATE WAS NOT PROVIDED. IT WAS NOTED THAT THERE WERE VERY DUSTY CONDITIONS IN THE CUSTOMER'S LABORATORY. THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

WE RECEIVED AN ALLEGATION ABOUT DISCREPANT RESULTS FOR 1 PATIENT CEREBROSPINAL FLUID (CSF) SAMPLE TESTED FOR GLUC HK GEN.3 (GLUC3) ASSAY ON A COBAS 8000 C702 MODULE. INITIAL RESULT: 36.56 MMOL/L. THE PHYSICIAN REQUESTED THE SAMPLE TO BE REPEATED. 1ST REPEAT RESULT: 3.25 MMOL/L. THE SAMPLE WAS REPEATED 6 MORE TIMES AND THE REPEAT RESULTS WERE 3.26 MMOL/L, 3.26 MMOL/L, 3.26 MMOL/L, 3.37 MMOL/L, 3.34 MMOL/L, AND 3.35 MMOL/L.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1416844 COBAS 8000 C 702 MODULE CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1 19 YR Unknown