FDA Adverse Event
Malfunction
Summary report: N
COBAS C 503 ANALYTICAL UNIT
MDR report key: 21742486
·
Received April 1, 2025
Report
- Report Number
- 1823260-2025-00970
- Event Type
- Malfunction
- Date Received
- April 1, 2025
- Date of Event
- March 12, 2025
- Report Date
- April 1, 2025
- Manufacturer
- ROCHE DIAGNOSTICS
- Product Code
- JJE
- PMA / PMN Number
- K191899
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE REAGENT LOT NUMBER IS 853138. THE EXPIRATION DATE WAS NOT PROVIDED. THE FIELD SERVICE REPRESENTATIVE FOUND A LARGE DEPOSIT OF COAGULATED BLOOD ON THE COVER IN THE PROBE PASSAGE. HE REPLACED THE PROBE, PERFORMED ADJUSTMENTS, AND CHECKS. THE SERVICE ACTIONS RESOLVED THE ISSUE.
Description of Event or Problem · 0
THERE WAS AN ALLEGATION OF QUESTIONABLE CREATININE PLUS VER.2 RESULTS FOR 2 PATIENT SAMPLES ON A COBAS C 503 ANALYTICAL UNIT. ONE EXAMPLE OF DISCREPANT RESULTS WAS PROVIDED: THE INITIAL RESULT WAS 18.2 MG/L. THE REPEATED RESULT WAS 7.47 MG/L.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1172821 | COBAS C 503 ANALYTICAL UNIT | CLINICAL CHEMISTRY ANALYZER | JJE | ROCHE DIAGNOSTICS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |