FDA Adverse Event Malfunction Summary report: N

COBAS 8000 C702 MODULE

MDR report key: 21739202 · Received April 1, 2025

Report

Report Number
1823260-2025-00957
Event Type
Malfunction
Date Received
April 1, 2025
Date of Event
March 22, 2025
Report Date
April 1, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K100853
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE UA GEN.2 REAGENT LOT NUMBER IS 823649, AND THE EXPIRATION DATE IS SEP-2025. THE UREAL REAGENT LOT NUMBER IS 823651, AND THE EXPIRATION DATE IS MAY-2025. A FIELD SERVICE ENGINEER (FSE) DETERMINED THAT THE RINSING VOLUME WAS LOW DUE TO A PARTIALLY OBSTRUCTED DEGASSER. AFTER REPLACING THE DEGASSER, THE RINSING VOLUME WAS GOOD. DURING THE INSPECTION, THE FSE OBSERVED DRIPPING FROM A RINSING NOZZLE; THE VACUUM TUBE OF THE NOZZLE HAD MICROHOLES, AND IT WAS REPLACED. THE INVESTIGATION DETERMINED THAT THE SERVICE ACTION RESOLVED THE ISSUE.

Description of Event or Problem · 0

THERE WAS AN ALLEGATION OF QUESTIONABLE UREAL AND UA GEN.2 RESULTS FROM THE COBAS 8000 C702 MODULE. SAMPLE ID: (B)(6) INITIAL URIC ACID RESULT WAS 0.1 MG/DL, AND THE REPEAT RESULT ON ANOTHER C702 WAS 2.9 MG/DL. SAMPLE ID: (B)(6) INITIAL UREA RESULT WAS 2.2 MG/DL, AND THE REPEAT RESULT FROM ANOTHER C702 WAS 49.1 MG/DL. SAMPLE ID: (B)(6) INITIAL UREA RESULT WAS 0.1 MG/DL, AND THE REPEAT RESULT FROM ANOTHER C702 WAS 25.7 MG/DL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1165513 COBAS 8000 C702 MODULE CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1 75 YR Male