FERR4
Received Jul 12, 2023 · Event occurred Jun 13, 2023
Report 1823260-2023-02226 · MDR key 17309096
Device
Generic name
Ferritin
Manufacturer
Roche DiagnosticsModel number
NACatalog 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.