FDA Adverse Event Malfunction Summary report: N

COBAS 8000 C702 MODULE

MDR report key: 22356779 · Received June 30, 2025

Report

Report Number
1823260-2025-01976
Event Type
Malfunction
Date Received
June 30, 2025
Date of Event
June 6, 2025
Report Date
July 21, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
PMA / PMN Number
K100853
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
EI
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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) CHECKED THE INSTRUMENT AND REPLACED THE DIAPHRAGM VALVES AND THE SAMPLE PROBES. BASED ON THE INFORMATION PROVIDED, THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative · 0

THE CHOL2 REAGENT LOT NUMBER WAS 839947 WITH AN EXPIRATION DATE OF 31-AUG-2025. THE GLUC3 REAGENT LOT NUMBER WAS 812051 WITH AN EXPIRATION DATE OF 30-SEP-2025.

Description of Event or Problem · 0

THE INITIAL REPORTER COMPLAINED OF DISCREPANT LOW RESULTS FOR 2 PATIENT SAMPLES TESTED FOR GLUCOSE HK GEN.3 (GLUC3) AND CHOLESTEROL GEN.2 (CHOL2) ON A COBAS 8000 C702 MODULE. PATIENT 1 INITIAL GLUC3 RESULT WAS <0.11 MMOL/L. THE REPEAT RESULT WAS 4.27 MMOL/L. PATIENT 2 INITIAL CHOL2 RESULT WAS 0.81 MMOL/L. THE REPEAT RESULT WAS 3.99 MMOL/L. THE INITIAL GLUC3 RESULT WAS 0.2 MMOL/L. THE REPEAT RESULT WAS 10 MMOL/L.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
928633 COBAS 8000 C702 MODULE CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown