inforMED
MalfunctionPRI

ELECSYS BRAHMS PCT

Received Sep 1, 2023 · Event occurred Aug 4, 2023

Report 1823260-2023-02864 · MDR key 17671494

Device

Generic name

Procalcitonin Assay

Manufacturer

Roche Diagnostics

Catalog number

08828679190

Lot number

ASKU

Product problems

  • Non Reproducible Results
  • Non Reproducible Results

Patient

Unknown

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

Narrative

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS PROCALCITONIN V2 RESULTS FOR 1 PATIENT SAMPLE ON A COBAS 8000 CORE UNIT. ON (B)(6) 2023, THE INITIAL RESULT WAS GREATER THAN 100 NG/ML. THE SAMPLE WAS REPEATED AND GAVE A RESULT OF GREATER THAN 100 NG/ML. ON (B)(6) 2023, A 1:3 DILUTION WAS MADE FROM THE INITIAL REFRIGERATED SAMPLE AND THE RESULT WAS 45 NG/ML. THE REFRIGERATED ORIGINAL SAMPLE WAS REPEATED AGAIN AND THE RESULT WAS 48.4 NG/ML. NO QUESTIONABLE RESULTS WERE REPORTED OUTSIDE OF THE LABORATORY.

Additional Manufacturer Narrative

THE ANALYZE SERIAL NUMBER IS (B)(6). IT WAS FOUND THAT THE STABILITY OF THE MEASURED SAMPLES IS 24 HOURS AT 20 TO 25 DEGREES C AND 48 HOURS AT 2 TO DEGREES C. THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative

BASED ON THE INFORMATION PROVIDED, THE ROOT CAUSE OF THE EVENT WAS FOUND TO BE CONSISTENT WITH THE EXCEEDED STORAGE TIME OF THE SAMPLE FOR THE GIVEN TEMPERATURE. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.