FDA Adverse Event Malfunction Summary report: N

ELECSYS DHEA-S

MDR report key: 23631125 · Received November 24, 2025

Report

Report Number
1823260-2025-04799
Event Type
Malfunction
Date Received
November 24, 2025
Date of Event
November 1, 2025
Report Date
December 30, 2025
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JKC
UDI-DI
04015630940387
PMA / PMN Number
K003174
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE FIELD SERVICE ENGINEER (FSE) FOUND A KINKED PROCELL LINE. THE FSE REPLACED AND RESEATED THE PROCELL LINE. QC WAS ACCEPTABLE; HOWEVER, THE INSTRUMENT CHECK FAILED. PREVENTIVE MAINTENANCE WAS PERFORMED. MECHANICAL CHECKS PASSED. THE INSTRUMENT WAS OPERATING WITHIN SPECIFICATION. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative · 0

THE COBAS E 801 ANALYTICAL UNIT SERIAL NUMBER WAS (B)(6). THE QC WAS IN RANGE PRIOR TO THE EVENT. THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

WE RECEIVED AN ALLEGATION ABOUT DISCREPANT RESULTS FOR ONE PATIENT SAMPLE TESTED WITH ELECSYS DHEA-S ASSAY ON A COBAS E 801 ANALYTICAL UNIT. INITIAL RESULT: 630 UG/DL. THE QC WENT OUT OF RANGE, PROMPTING THE REPEAT OF THE SAMPLES. REPEAT RESULT: 417 UG/DL (IT IS UNCLEAR IF THIS RESULT WAS FROM THE SAME OR A DIFFERENT E 801). THE REPEAT RESULT WAS DEEMED TO BE CORRECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2749863 ELECSYS DHEA-S DEHYDROEPIANDROSTERONE TEST SYSTEM JKC ROCHE DIAGNOSTICS DHEA-S 85726701 04015630940387

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown