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