FDA Adverse Event Malfunction Summary report: N

TOTAL PROTEIN URINE/CSF GEN.3

MDR report key: 21583558 · Received March 12, 2025

Report

Report Number
1823260-2025-00715
Event Type
Malfunction
Date Received
March 12, 2025
Date of Event
February 19, 2025
Report Date
April 2, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JIQ
UDI-DI
04015630919536
PMA / PMN Number
K141925
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MEDWATCH FIELDS D4 LOT NO AND D4 EXPIRATION DATE WERE UPDATED. BASED ON THE FREQUENT OCCURRENCE OF SAMPLE-RELATED ALARMS, THE INVESTIGATION DETERMINED THAT THE EVENT WAS CONSISTENT WITH PREANALYTIC ISSUES AT THE CUSTOMER SITE. CORRECT PRE-ANALYTIC SAMPLE HANDLING IS THE CUSTOMER'S RESPONSIBILITY. THERE IS NO EVIDENCE TO SUGGEST A MALFUNCTION OF THE DEVICE.

Additional Manufacturer Narrative · 0

THE COBAS 8000 COBAS C 502 MODULE SERIAL NUMBER WAS (B)(6). THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF QUESTIONABLE TOTAL PROTEIN URINE/CSF GEN.3 RESULTS FROM THE COBAS 8000 COBAS C 502 MODULE. THE INITIAL RESULT WAS 0.02 G/L AND THE REPEAT RESULT WAS 1.06 G/L.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
958787 TOTAL PROTEIN URINE/CSF GEN.3 TURBIDIMETRIC, TOTAL PROTEIN JIQ ROCHE DIAGNOSTICS 837924 04015630919536

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown