FDA Adverse Event Malfunction Summary report: N

COBAS 6000 C501 MODULE

MDR report key: 22043212 · Received May 19, 2025

Report

Report Number
1823260-2025-01531
Event Type
Malfunction
Date Received
May 19, 2025
Date of Event
April 26, 2025
Report Date
May 19, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
UDI-DI
04015630924707
PMA / PMN Number
K060373
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE CA2 REAGENT LOT NUMBER WAS 850567 WITH AN EXPIRATION DATE OF 31-MAR-2026. REAGENT ISSUES WERE EXCLUDED AS THE CUSTOMER HAD NO FURTHER ISSUES, AND THE CORRECT REPEAT RESULT WAS RECEIVED USING THE SAME REAGENT. THE FIELD SERVICE ENGINEER (FSE) REPLACED THE VACUUM UNIT, FIXED A VACUUM TUBE ON THE VACUUM BOTTLE, READJUSTED THE CELL RINSE LEVELS, AND CONFIRMED THE MODULE WAS OPERATING WITHIN SPECIFICATION. THE SERVICE ACTIONS RESOLVED THE ISSUE. AS VARIOUS SERVICE ACTIONS WERE PERFORMED, THE SPECIFIC ROOT CAUSE COULD NOT BE IDENTIFIED.

Description of Event or Problem · 0

THE INITIAL REPORTER COMPLAINED OF DISCREPANT HIGH RESULTS FOR 3 PATIENT SAMPLES TESTED FOR CALCIUM GEN.2 (CA2) ON A COBAS C 501 MODULE. PATIENT 1 INITIAL RESULT WAS 13.8 MG/DL. THE REPEAT RESULT WAS 9.32 MG/DL. PATIENT 2 INITIAL RESULT WAS 14.97 MG/DL. THE REPEAT RESULT WAS 9.36 MG/DL. PATIENT 3 INITIAL RESULT WAS 14 MG/DL. THE REPEAT RESULT WAS 8.9 MG/DL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
164298 COBAS 6000 C501 MODULE CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS 04015630924707

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown