inforMED
MalfunctionCDP

ELECSYS FT3 III

Received Mar 23, 2023 · Event occurred Feb 7, 2023

Report 1823260-2023-00935 · MDR key 16600168

Device

Generic name

Total Triiodothyronine

Manufacturer

Roche Diagnostics

Model number

FT3 III

Catalog number

09005803190

Lot number

623234

Product problems

  • High Test Results
  • High Test Results

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

QUALITY CONTROLS WERE ACCEPTABLE AND A GENERAL REAGENT PROBLEM CAN BE EXCLUDED. INSTRUMENT PERFORMANCE DATA IS WITHIN SPECIFICATIONS. UPON REVIEW OF THE ALARM TRACE, AN "ABNORMAL PROBE SUCKING" ALARM WAS OBSERVED NEAR THE TIMEPOINT OF MEASURING THE SECOND PATIENT SAMPLE. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE ISSUE IS CONSISTENT WITH A PREANALYTICAL HANDLING ISSUE.

Description of Event or Problem

THE INITIAL REPORTER STATED THEY RECEIVED DISCREPANT RESULTS FOR SAMPLES FROM TWO PATIENTS TESTED WITH THE ELECSYS FT3 III ASSAY ON A COBAS 6000 E601 MODULE, SERIAL NUMBER (B)(4). THE INITIAL RESULTS WERE REPORTED OUTSIDE OF THE LABORATORY AND QUESTIONED BY THE PHYSICIAN. PATIENT 1: THE SAMPLE INITIALLY RESULTED IN AN FT3 III VALUE OF 39.18 PMOL/L. ON (B)(6) 2023, A NEW SAMPLE FROM THE PATIENT RESULTED IN AN FT3 III VALUE OF 4.54 PMOL/L. PATIENT 2: THE SAMPLE INITIALLY RESULTED IN AN FT3 III VALUE OF 42.21 PMOL/L. ON (B)(6) 2023, A NEW SAMPLE FROM THE PATIENT RESULTED IN AN FT3 III VALUE OF 4.95 PMOL/L.