ELECSYS IGE II
Received Oct 6, 2023 · Event occurred Sep 12, 2023
Report 1823260-2023-03218 · MDR key 17887100
Device
Generic name
Radioimmunoassay, Immunoglobulins (d,e)
Manufacturer
Roche DiagnosticsCatalog number
04827031190
Lot number
619033
Product problems
- High Test Results
- Non Reproducible Results
- High Test Results
- Non Reproducible Results
Patient
25 YR · Female
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
THE FIELD SERVICE ENGINEER REPLACED THE PINCH VALVES. ON HIS SECOND SERVICE VISIT, HE PERFORMED MECHANICAL AND INSTRUMENT CHECKS. THE INVESTIGATION NOTED THAT THE CUSTOMER DOES NOT USE RACK ADAPTERS FOR THE 13 MM SAMPLE TUBES. PRODUCT LABELING STATES "INSERTING A ROCHE RACK CUP ADAPTER INTO A RACK - USE ROCHE RACK CUP ADAPTERS TO IMPROVE THE ALIGNMENT OF 13 MM TUBES. WARNING ! INCORRECT RESULTS AND ERRORS DUE TO MISALIGNED SAMPLE TUBES NOT USING A ROCHE RACK CUP ADAPTER WITH 13 MM TUBES OR INCORRECT USE OF A ROCHE RACK CUP ADAPTER MAY CAUSE INCORRECT RESULTS OR ERRORS. ALWAYS USE ROCHE RACK CUP ADAPTERS WITH 13 MM TUBES. ENSURE THAT SAMPLE TUBES ARE STRAIGHT." THE INVESTIGATION REVIEWED THE CALIBRATION DATA AND NOTED THAT THE CALIBRATION SIGNALS MAY BE LOWER THAN EXPECTED. AFTER SERVICE, NO FURTHER ISSUES WERE REPORTED BY THE CUSTOMER. THE INVESTIGATION DETERMINED THE SERVICE ACTIONS RESOLVED THE ISSUE. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.
Additional Manufacturer Narrative
THE SERIAL NUMBER OF THE CUSTOMER'S COBAS E411 DISK IS (B)(6). THE FIELD SERVICE ENGINEER PERFORMED PREVENTIVE MAINTENANCE ON THE ANALYZER. THE INVESTIGATION IS ONGOING.
Description of Event or Problem
THE INITIAL REPORTER RECEIVED A QUESTIONABLE ELECSYS IGE II RESULT FROM ONE PATIENT SAMPLE TESTED ON THE COBAS E411 DISK. THE INITIAL RESULT WAS 405.1 NG/ML. THE REPEAT RESULT WAS 253.2 NG/ML.