inforMED
MalfunctionCDD

ELECSYS VITAMIN B12 II

Received Aug 3, 2023 · Event occurred Jul 10, 2023

Report 1823260-2023-02511 · MDR key 17454920

Device

Generic name

Radioassay, Vitamin B12

Manufacturer

Roche Diagnostics

Catalog number

07212771190

Lot number

707331

Product problems

  • Low Test Results
  • Non Reproducible Results
  • Low Test Results
  • Non Reproducible Results

Patient

Unknown

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

Narrative

Description of Event or Problem

THE INITIAL REPORTER COMPLAINED OF DISCREPANT RESULTS FOR 1 PATIENT SAMPLE TESTED FOR ELECSYS VITAMIN B12 II (VITAMIN B12 II) ON A COBAS E 411 IMMUNOASSAY ANALYZER. THE INITIAL RESULT WAS 112.1 PG/ML. THE SAMPLE WAS REPEATED TWICE WITH RESULTS OF 147.0 PG/ML AND 247 PG/ML. NO QUESTIONABLE RESULTS WERE REPORTED OUTSIDE OF THE LABORATORY.

Additional Manufacturer Narrative

THE E411 ANALYZER SERIAL NUMBER WAS (B)(6). THE CALIBRATION AND QC DATA DO NOT SUGGEST A GENERAL REAGENT ISSUE. SEVERAL SAMPLE PIPETTING ALARMS WERE OBSERVED ON THE ALARM TRACE DATA. REAGENT PIPETTING ALARMS WERE ALSO NOTED. LIQUID FLOW CLEANING WAS LAST PERFORMED ON (B)(6) 2023. THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative

BASED ON THE CALIBRATION AND QC DATA, A GENERAL REAGENT ISSUE IS NOT SUSPECTED. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.