FDA Adverse Event Malfunction Summary report: N

COBAS C 503 ANALYTICAL UNIT

MDR report key: 22148959 · Received June 5, 2025

Report

Report Number
1823260-2025-01731
Event Type
Malfunction
Date Received
June 5, 2025
Date of Event
May 14, 2025
Report Date
June 25, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K191899
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MX
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE URIC ACID REAGENT LOT NUMBER WAS 840301. THE REAGENT EXPIRATION DATE WAS REQUESTED, BUT NOT PROVIDED. THE FIELD SERVICE ENGINEER DETERMINED THE WASH MECHANISM WAS OVERFLOWING. THE WASH VOLUMES WERE ADJUSTED. REAGENT AND SAMPLE PIPETTORS WERE FOUND TO BE MIS-ADJUSTED, SO THESE WERE ADJUSTED. PRECISION STUDIES AND ANALYZER CHECKS WERE PERFORMED. THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative · 0

THE INVESTIGATION DETERMINED THE SERVICE ACTIONS RESOLVED THE ISSUE.

Description of Event or Problem · 0

THE INITIAL REPORTER STATED THEY RECEIVED DISCREPANT RESULTS FOR ONE PATIENT SAMPLE TESTED WITH URIC ACID VER.2 ON A COBAS C 503 ANALYTICAL UNIT. THE FIRST SAMPLE INITIALLY RESULTED IN A URIC ACID VALUE OF 0.803 MG/DL AND IT REPEATED AS 5.01 MG/DL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
762032 COBAS C 503 ANALYTICAL UNIT CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown