ELECSYS T4
Received Dec 6, 2023 · Event occurred Nov 14, 2023
Report 1823260-2023-03885 · MDR key 18277792
Device
Generic name
Radioimmunoassay, Total Thyroxine
Manufacturer
Roche DiagnosticsCatalog number
09007784190
Lot number
711668
Product problems
- Incorrect Measurement
- Manufacturing, Packaging or Shipping Problem
- Incorrect Measurement
- Manufacturing, Packaging or Shipping Problem
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
THE E801 ANALYZER SERIAL NUMBER WAS (B)(6). THE CUSTOMER NOTED THE ISSUE STARTED WHEN THE STAND-BY REAGENT KIT WAS SWITCHED.
Description of Event or Problem
THE INITIAL REPORTER COMPLAINED OF DISCREPANT RESULTS FOR 7 PATIENT SAMPLES TESTED FOR ELECSYS T4 (T4) ON A COBAS E 801 ANALYTICAL UNIT. THE INITIAL RESULT FOR ALL 7 PATIENT SAMPLES WAS >24.9 UG/DL WITH A DATA FLAG. PATIENT 1 REPEAT RESULT WAS 5.97 UG/DL. PATIENT 2 REPEAT RESULT WAS 5.55 UG/DL. PATIENT 3 REPEAT RESULT WAS 3.91 UG/DL. PATIENT 4 REPEAT RESULT WAS 4.16 UG/DL. PATIENT 5 REPEAT RESULT WAS 8.74 UG/DL. PATIENT 6 REPEAT RESULT WAS 5.65 UG/DL. PATIENT 7 REPEAT RESULT WAS 5.10 UG/DL.
Additional Manufacturer Narrative
THE CUSTOMER DID NOT PERFORM QC ON THE REAGENT PACK BEFORE USE. PRODUCT LABELING STATES: "CONTROLS FOR THE VARIOUS CONCENTRATION RANGES SHOULD BE RUN INDIVIDUALLY AT LEAST ONCE EVERY 24 HOURS WHEN THE TEST IS IN USE, ONCE PER COBAS E PACK, AND FOLLOWING EACH CALIBRATION." THE INVESTIGATION DETERMINED THE EVENT WAS DUE TO A REAGENT HANDLING ISSUE AT THE CUSTOMER SITE. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.
Additional Manufacturer Narrative
SECTIONS D4, CATALOG NUMBER, AND UDI WERE UPDATED.