inforMED
MalfunctionDBF

FERR4

Received Jul 12, 2023 · Event occurred Jun 13, 2023

Report 1823260-2023-02226 · MDR key 17309096

Device

Generic name

Ferritin

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

08057648190

Lot number

64873101

Product problems

  • Low Test Results
  • Low Test Results

Patient

49 YR · Female

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

Narrative

Additional Manufacturer Narrative

THERE WERE NO ALARMS ON THE LAST CALIBRATIONS PERFORMED ON 13-JUN-2023 AND 14-JUN-2023. QUALITY CONTROL RECOVERY WAS WITHIN RANGE. THERE WAS NO INDICATION OF A REAGENT PERFORMANCE ISSUE. UPON REVIEW OF THE ALARM TRACE, MULTIPLE ABNORMAL ASPIRATION ALARMS WERE OBSERVED. THIS IS AN INDICATION OF POSSIBLE POOR SAMPLE QUALITY. THE INVESTIGATION DETERMINED THE SERVICE ACTIONS RESOLVED THE ISSUE.

Additional Manufacturer Narrative

THE SERIAL NUMBER OF THE COBAS PRO C 503 ANALYTICAL UNIT WAS (B)(6). THE FIELD SERVICE ENGINEER REPLACED THE REACTION CELLS AND RAN PRECISION STUDIES. CONTROLS WERE TESTED AND ALL RESULTS WERE WITHIN THE CUSTOMER'S SPECIFIED RANGES EXCEPT FOR ONE LEVEL OF CONTROL TESTED WITH A NEW LOT OF FERRITIN REAGENT.

Description of Event or Problem

THE INITIAL REPORTER STATED THEY RECEIVED DISCREPANT RESULTS FOR ONE PATIENT SAMPLE TESTED WITH FERR4 (FERRITIN) ON A COBAS PRO C 503 ANALYTICAL UNIT. THE CUSTOMER NOTED THAT CONTROLS WERE RUNNING HIGH WITH A NEW LOT OF FERRITIN REAGENT. THE SAMPLE INITIALLY RESULTED IN A FERRITIN VALUE OF 7 NG/ML. CONTROLS TESTED AFTER THE INITIAL SAMPLE RUN WERE OUTSIDE OF RANGE, SO THE SAMPLE WAS REPEATED. THE SAMPLE REPEATED WITH A FERRITIN VALUE OF 11 NG/ML. THIS REPEAT VALUE WAS DEEMED CORRECT AND A CORRECTED REPORT WAS ISSUED.