inforMED
MalfunctionCEO

COBAS 6000 C501MODULE

Received Mar 5, 2010 · Event occurred Jan 7, 2010

Report 1823260-2010-01423 · MDR key 1623002

Device

Generic name

Clinical Chemistry Analyzer

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

04745914001

Lot number

NA

Product problems

  • High Test Results

Patient

Not reported

  • No Patient Involvement

Narrative

Description of Event or Problem

THE USER FAILED A URINE PHOSPHORUS PROFICIENCY SURVEY FOR THREE SAMPLES. ALL RESULTS WERE IN MG/DL. REPEAT TESTING WAS PERFORMED (B) (6) 2010. SAMPLE 1 INITIAL RESULT WAS 191.40 WITH AN ACCEPTABLE RANGE OF 76.31- 121.91. THE REPEAT RESULT WAS 104.2. SAMPLE 2 INITIAL RESULT WAS 76.60 WITH AN ACCEPTABLE RANGE OF 28.69-45.85. THE REPEAT RESULT WAS 38.8. SAMPLE 3 INITIAL RESULT WAS 127.80 WITH AN ACCEPTABLE RANGE OF 57.63- 92.07. THE REPEAT RESULT WAS 79.0. THE USER DID NOT HAVE ANY ERRONEOUS PATIENT RESULTS OR COMPLAINTS FROM DOCTORS. THE PHOSPHORUS REAGENT LOT NUMBER WAS 616734. THE FIELD SERVICE REPRESENTATIVE DETERMINED THERE WAS A BLOCKED VALVE RESPONSIBLE FOR WASHING THE SAMPLE PROBE. HE REPLACED BOTH VALVE BANKS AND VERIFIED THE ANALYZER OPERATION BY SUCCESSFULLY PRODUCING ACCURATE AND PRECISE CALIBRATION AND CONTROLS.