ELECSYS ESTRADIOL III
Report
- Report Number
- 1823260-2026-01730
- Event Type
- Malfunction
- Date Received
- May 4, 2026
- Date of Event
- April 9, 2026
- Report Date
- May 29, 2026
- Manufacturer
- ROCHE DIAGNOSTICS
- Product Code
- CHP
- UDI-DI
- 04015630939671
- PMA / PMN Number
- K965109
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- EI
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE EXPIRATION DATES OF BOTH LOT NUMBERS FOR THE ESTRADIOL III REAGENT WERE NOT PROVIDED. THE COBAS E 801 ANALYTICAL UNIT SERIAL NUMBER WAS (B)(6). THE QC WAS ACCEPTABLE. THE FIELD SERVICE ENGINEER (FSE) REPLACED THE PINCH VALVES, REAGENT PROBES, AND PINCH TUBING AND CLEANED THE SAMPLING AREA. HE THEN VERIFIED CORRECT SYSTEM WATER PRESSURE, THE WASH STATIONS' DISCHARGE WATER AND THE DRAIN, THE PROBES, AND THE BEAD MIXER. AN INSTRUMENT CHECK, CALIBRATION, AND QC WERE PERFORMED, AND THEY WERE WITHIN SPECIFICATIONS. THE DATA WAS REVIEWED. THE MAINTENANCE WAS UP TO DATE, AND THE ALARM TRACE DID NOT SHOW ANY SPECIFIC ISSUES. THE CUSTOMER WAS RUNNING ALL SAMPLES TESTED FOR ESTRADIOL III IN DUPLICATE UNTIL THE ISSUE WAS RESOLVED. THE INVESTIGATION IS ONGOING.
THE ESTRADIOL III REAGENT LOT 88756500 HAS AN EXPIRATION DATE OF 31-AUG-2026. THE CUSTOMER ALLEGED DISCREPANT ESTRADIOL III RESULTS FOR AN ADDITIONAL 3 PATIENTS' SAMPLES: SAMPLE 6 WAS TESTED ON 20-MAY-2026: INITIAL RESULT: 8323 PMOL/L. REPEAT RESULT: 1174 PMOL/L (TESTED ON A COMPETITOR'S ANALYZER). SAMPLE 7 AND SAMPLE 8 WERE TESTED ON 22-MAY-2026: SAMPLE 7: INITIAL RESULT: 176 PMOL/L. REPEAT RESULT: 57 PMOL/L (TESTED ON A COMPETITOR'S ANALYZER). THIS RESULT WAS DEEMED TO BE CORRECT. SAMPLE 8: INITIAL RESULT: 630 PMOL/L. THIS RESULT WAS DEEMED TO BE CORRECT. REPEAT RESULT: 1973 PMOL/L (TESTED ON A COMPETITOR'S ANALYZER). THE INVESTIGATION IS ONGOING.
WE RECEIVED AN ALLEGATION ABOUT DISCREPANT RESULTS FOR 2 PATIENTS' SAMPLES TESTED WITH ELECSYS ESTRADIOL III ASSAY ON A COBAS E 801 ANALYTICAL UNIT. SAMPLE 1 WAS TESTED USING THE REAGENT LOT NUMBER 88756500: INITIAL RESULT: 155 PMOL/L. 1ST REPEAT RESULT: 271 PMOL/L. ON (B)(6) 2026: 2ND REPEAT RESULT: 166 PMOL/L. SAMPLE 2 WAS TESTED USING THE REAGENT LOT NUMBER 931204: ON (B)(6) 2026: INITIAL RESULT: <18.4 PMOL/L. 1ST REPEAT RESULT: 198 PMOL/L. ON (B)(6) 2026: 2ND REPEAT RESULT: 291 PMOL/L. 3RD REPEAT RESULT: <18.4 PMOL/L. NO QUESTIONABLE RESULTS WERE REPORTED OUTSIDE THE LABORATORY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 431049 | ELECSYS ESTRADIOL III | RADIOIMMUNOASSY, ESTRADIOL | CHP | ROCHE DIAGNOSTICS | 88756500, 931204 | 04015630939671 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |