FDA Adverse Event Malfunction Summary report: N

COBAS 8000 COBAS C 502 MODULE

MDR report key: 24815197 · Received April 8, 2026

Report

Report Number
1823260-2026-01327
Event Type
Malfunction
Date Received
April 8, 2026
Date of Event
February 27, 2026
Report Date
April 8, 2026
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
UDI-DI
04015630928354
PMA / PMN Number
K100853
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE PHNY2 PHENYTOIN REAGENT LOT NUMBER IS 896041. THE EXPIRATION DATE WAS REQUESTED BUT NOT PROVIDED. THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

THE INITIAL REPORTER RECEIVED QUESTIONABLE PHNY2 PHENYTOIN ASSAY RESULTS FROM SEVERAL PATIENT SAMPLES COLLECTED IN SAMPLE TUBES WITH A GEL-SEPARATOR TESTED ON THE COBAS 8000 COBAS C 502 MODULE. THE REPORTER PROVIDED ONE PATIENT SAMPLE WITH DISCREPANT RESULTS: THE INITIAL RESULT FROM THE MODULE WAS 22 UG/ML THE REPEAT RESULT FROM ANOTHER COBAS ANALYZER WAS 31.3 UG/ML. THE PATIENT'S FAMILY QUESTIONED THE INITIAL RESULT AFTER RECEIVING THE RESULT OF A SECOND TEST. NO RESULT WAS DEEMED CORRECT, AS THE CUSTOMER BELIEVES THAT THE SEPARATOR GEL IN THE PATIENT SAMPLE TUBE MAY HAVE CAUSED THE QUESTIONABLE RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
162080 COBAS 8000 COBAS C 502 MODULE CLINICAL CHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS 04015630928354

Patients

Seq Age Sex Outcome Treatment
1 32 YR Male