inforMED
MalfunctionCDD

ELECSYS VITAMIN B12 II

Received Aug 21, 2023 · Event occurred Jul 12, 2023

Report 1823260-2023-02717 · MDR key 17591119

Device

Generic name

Radioassay, Vitamin B12

Manufacturer

Roche Diagnostics

Catalog number

07212771190

Lot number

707331

Product problems

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

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

THE FIELD SERVICE ENGINEER (FSE) PERFORMED ROUTINE MAINTENANCE AND SERVICE. THE FSE NOTED THAT THE LIQUID FLOW CLEANING (LFC) SYSTEM WAS WORKING FINE. HE PERFORMED MECHANICAL AND PRECISION CHECKS WITH SUCCESSFUL RESULTS. THE INVESTIGATION EXCLUDED A GENERAL REAGENT PROBLEM. BASED ON THE INFORMATION PROVIDED, THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Description of Event or Problem

THE INITIAL REPORTER RECEIVED QUESTIONABLE ELECSYS VITAMIN B12 IMMUNOASSAY RESULTS FROM TWO PATIENT SAMPLES TESTED ON THE COBAS E411 DISK. THE REPORTER WAS ABLE TO PROVIDE ONE EXAMPLE OF A QUESTIONABLE RESULT. THE INITIAL RESULT WAS GREATER THAN 2000 PG/ML. THE REPEAT RESULT WAS 225.2 PG/ML. THE REPEAT RESULT WAS CROSS-CHECKED ON THE LABORATORY'S OTHER E 411 AND NO SIGNIFICANT VARIATION WAS NOTED.