FDA Adverse Event Malfunction Summary report: N

COBAS 6000 E 601 MODULE

MDR report key: 8025091 · Received October 31, 2018

Report

Report Number
1823260-2018-03983
Event Type
Malfunction
Date Received
October 31, 2018
Date of Event
August 2, 2018
Report Date
February 6, 2019
Manufacturer
ROCHE DIAGNOSTICS
Product Code
JJE
UDI-DI
04015630924714
PMA / PMN Number
K060373
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED IN (B)(6).

Description of Event or Problem · 1

THE CUSTOMER STATED THAT THEY DID AN EVALUATION OF PATIENT SAMPLES TESTED FOR THE ELECSYS TROPONIN T HS STAT ASSAY (TNTHSST) ON TWO COBAS 6000 E 601 MODULE (E601) ANALYZERS. THIS EVALUATION WAS DONE TO DETERMINE THE NUMBER OF RESULT OUTLIERS IN PATIENT SAMPLES TESTED BETWEEN (B)(6) 2018 AND (B)(6) 2018. THE CUSTOMER PROVIDED DATA FOR A TOTAL OF 2432 PATIENT SAMPLES TESTED IN DUPLICATE FOR TNTHSST. OF THE 2432 PATIENT SAMPLES, 3 HAD ERRONEOUS RESULTS MEASURED ON ONE E601 ANALYZER THAT WERE REPORTED OUTSIDE OF THE LABORATORY. THE FIRST SAMPLE INITIALLY RESULTED AS 74.15 NG/L AND REPEATED AS 92.4 NG/L. THE SECOND SAMPLE INITIALLY RESULTED AS 16.48 NG/L ON (B)(6) 2018 AND REPEATED AS 19.85 NG/L. THE THIRD SAMPLE INITIALLY RESULTED AS 7.25 NG/L ON (B)(6) 2018 AND REPEATED AS 9.02 NG/L. NO ADVERSE EVENTS WERE ALLEGED TO HAVE OCCURRED WITH THE PATIENTS. THE TNTHSST REAGENT LOT NUMBER WAS 267654. THE REAGENT EXPIRATION DATE WAS ASKED FOR, BUT NOT PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
867080 COBAS 6000 E 601 MODULE IMMUNOCHEMISTRY ANALYZER JJE ROCHE DIAGNOSTICS E601 NA 04015630924714

Patients

Seq Age Sex Outcome Treatment
1