FDA Adverse Event
Malfunction
Summary report: N
ALBUMIN BCP
MDR report key: 23359666
·
Received October 22, 2025
Report
- Report Number
- 1823260-2025-04294
- Event Type
- Malfunction
- Date Received
- October 22, 2025
- Date of Event
- June 11, 2024
- Report Date
- October 22, 2025
- Manufacturer
- ROCHE DIAGNOSTICS
- Product Code
- CJW
- UDI-DI
- 04015630927562
- PMA / PMN Number
- K844426
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AU
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE ANALYZER SERIAL NUMBER IS (B)(6). THE CALIBRATION AND QC RECOVERY DATA PROVIDED WAS ACCEPTABLE. BASED ON THE AVAILABLE DATA, A GENERAL REAGENT ISSUE COULD BE EXCLUDED. THE FIELD SERVICE ENGINEER (FSE) FOUND THAT THE BALL BEARINGS OF THE SAMPLE PIPETTOR WERE WORN AND REPLACED IT. THE SERVICE MAINTENANCE ACTIONS PERFORMED BY THE FSE RESOLVED THE ISSUE.
Description of Event or Problem · 0
THERE WAS AN ALLEGATION OF QUESTIONABLE ALBUMIN BCP RESULTS FOR 1 PATIENT SAMPLE ON A COBAS 6000 C501 MODULE. THE DOCTOR QUESTIONED THE LOW INITIAL RESULT WHICH PROMPTED THE CUSTOMER TO REPEAT THE SAMPLE. THE INITIAL RESULT WAS 1167 MG/DL. THE REPEAT RESULT WAS 4331 MG/DL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 222198 | ALBUMIN BCP | BROMCRESOL PURPLE DYE-BINDING, ALBUMIN | CJW | ROCHE DIAGNOSTICS | 788349 | 04015630927562 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |