FDA Adverse Event Malfunction Summary report: N

COBAS 6000 C (501) MODULE

MDR report key: 22782714 · Received August 12, 2025

Report

Report Number
1823260-2025-02447
Event Type
Malfunction
Date Received
August 12, 2025
Date of Event
July 18, 2025
Report Date
August 12, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
UDI-DI
04015630924707
PMA / PMN Number
K060373
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE CA2 REAGENT LOT NUMBER WAS 850567. THE EXPIRATION DATE WAS NOT PROVIDED. THE CALIBRATION WAS LAST PERFORMED ON 18-JUL-2025, AND IT WAS ACCEPTABLE. THE QC RECOVERY WAS WITHIN THE ACCEPTABLE RANGE. THE ALARM TRACE DID NOT SHOW ANY ABNORMALITY. THE FIELD SERVICE ENGINEER FOUND THAT THE CAUSE WAS DUE TO A DAMAGED VACUUM RINSE TUBING (COMPONENT FAILURE). HE REPLACED THE RINSE TUBING AND VERIFIED THAT THE INSTRUMENT WAS PERFORMING WITHIN SPECIFICATIONS. THE SERVICE ACTIONS PERFORMED BY THE ENGINEER RESOLVED THE ISSUE. NO FURTHER ISSUES WERE REPORTED AFTER THE SERVICE VISIT.

Description of Event or Problem · 0

WE RECEIVED AN ALLEGATION ABOUT DISCREPANT RESULTS FOR 1 PATIENT SAMPLE TESTED WITH CALCIUM GEN.2 (CA2) ASSAY ON A COBAS 6000 C 501 (UL) V MODULE. INITIAL RESULT: 4.68 MG/DL (ACCOMPANIED BY A DATA FLAG). THE CRITICAL RESULT IN THE CUSTOMER'S LABORATORY INFORMATION SYSTEM (LIS) PROMPTED THE REPEAT OF THE SAMPLE. REPEAT RESULT: 6.61 MG/DL (ACCOMPANIED BY A DATA FLAG). NO QUESTIONABLE RESULTS WERE REPORTED OUTSIDE THE LABORATORY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1339825 COBAS 6000 C (501) MODULE CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS 04015630924707

Patients

Seq Age Sex Outcome Treatment
1 88 YR Female