PHOS2 PHOSPHATE (INORGANIC) VER.2
Received Mar 8, 2021 · Event occurred Feb 11, 2021
Report 1823260-2021-00697 · MDR key 11438858
Device
Generic name
Phosphomolybdate (colorimetric), Inorganic Phosphorus
Manufacturer
Roche DiagnosticsModel number
NACatalog number
03183793122
Lot number
48358501
Product problems
- High Test Results
- Low Test Results
- High Test Results
- Low Test Results
Patient
80 YR
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
UNIQUE IDENTIFIER (UDI) # (B)(4). THE CUSTOMER FOUND A DEFECTIVE REAGENT PACK AND THAT THE PROBE TIP WAS BLOCKED WITH PLASTIC. THE PROBE WAS REPLACED. PRECISION STUDIES WERE PERFORMED AND WERE ACCEPTABLE. THE INVESTIGATION IS ONGOING.
Description of Event or Problem
THE INITIAL REPORTER COMPLAINED OF A QUESTIONABLE PHOS GEN.2, RESULT FOR 1 PATIENT SAMPLE, ON A COBAS 6000 C (501) MODULE ANALYZER SERIAL NUMBER (B)(4). THE INITIAL RESULT WAS 1.9 MG/DL AND THE REPEAT RESULT WAS 3.4 MG/DL. THE INITIAL RESULT WAS REPORTED OUTSIDE THE LABORATORY.
Additional Manufacturer Narrative
IT WAS PREVIOUSLY STATED THE CUSTOMER FOUND "THAT THE PROBE TIP WAS BLOCKED WITH PLASTIC. THE PROBE WAS REPLACED. PRECISION STUDIES WERE PERFORMED AND WERE ACCEPTABLE." THIS WAS CORRECTED TO HAVING BEEN FOUND BY THE FIELD SERVICE ENGINEER. THE LAST CALIBRATION WAS PERFORMED ON (B)(6) 2020 WITH ACCEPTABLE RESULTS. NO FURTHER ISSUES WERE REPORTED AFTER THE SERVICE VISIT. THE INVESTIGATION DETERMINED THAT THE ISSUE FOUND BY THE FIELD SERVICE ENGINEER WAS THE ROOT CAUSE OF THE EVENT.