FDA Adverse Event Malfunction Summary report: N

ALKALINE PHOSPHATASE ACC. TO IFCC GEN.2

MDR report key: 23223466 · Received October 6, 2025

Report

Report Number
1823260-2025-04069
Event Type
Malfunction
Date Received
October 6, 2025
Date of Event
September 9, 2025
Report Date
November 4, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
CJE
PMA / PMN Number
K033185
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE COBAS C 503 ANALYTICAL UNIT SERIAL NUMBER IS (B)(6). THE FIELD SERVICE ENGINEER (FSE) INVESTIGATED THE EVENT AND DETERMINED THAT THE CAUSE WAS A CONTAMINATED PATIENT SAMPLE. THE FSE VERIFIED ANALYZER PERFORMANCE VIA SUCCESSFUL PRECISION CHECKS. THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative · 0

THE INVESTIGATION REVIEWED THE CALIBRATION DATA, AND THE RESULTS WERE ACCEPTABLE. THE INVESTIGATION DETERMINED THAT THE SERVICE ACTIONS RESOLVED THE ISSUE.

Description of Event or Problem · 0

THE INITIAL REPORTER RECEIVED A QUESTIONABLE ALKALINE PHOSPHATASE ACC. TO IFCC GEN.2 RESULT FROM ONE PATIENT SAMPLE TESTED ON THE COBAS C 503 ANALYTICAL UNIT. THE INITIAL RESULT FROM THE ANALYZER WAS 162 U/L. THE FIRST REPEAT RESULT FROM THE OTHER COBAS LINE WAS 334 U/L. THE SECOND REPEAT RESULT FROM THE OTHER COBAS LINE WAS 360 U/L. THIS RESULT WAS DEEMED CORRECT AND REPORTED. THE INITIAL RESULT WAS NOT REPORTED OUTSIDE OF THE LABORATORY DUE TO DATA FLAGS ON OTHER ASSAYS, PROMPTING THE RERUN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2343602 ALKALINE PHOSPHATASE ACC. TO IFCC GEN.2 NITROPHENYLPHOSPHATE, ALKALINE PHOSPHATASE OR ISOENZYMES CJE ROCHE DIAGNOSTICS 86942501

Patients

Seq Age Sex Outcome Treatment
1 9 YR Male