ELECSYS FT3 III
Received Feb 7, 2024 · Event occurred Jan 14, 2024
Report 1823260-2024-00352 · MDR key 18659208
Device
Generic name
Radioimmunoassay, Total Triiodothyronine
Manufacturer
Roche DiagnosticsCatalog number
07027362190
Lot number
740474
Product problems
- High Test Results
- Non Reproducible Results
- High Test Results
- Non Reproducible Results
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
QC WAS ACCEPTABLE, HOWEVER, IT WAS NOT PROVIDED WHICH REAGENT PACK WAS USED. NO ISSUES WERE IDENTIFIED DURING A REVIEW OF THE ALARM TRACE. PRECISION TESTING FROM 14-JAN-2024 WAS ACCEPTABLE. THE INVESTIGATION DETERMINED THE EVENT WAS CONSISTENT WITH EITHER FOAM ON THE REAGENT SURFACE OR A SAMPLE CLOT IN THE MEASURING CELL. THE SPECIFIC CAUSE OF THE EVENT COULD NOT BE DETERMINED. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.
Description of Event or Problem
THE INITIAL REPORTER COMPLAINED OF DISCREPANT RESULTS FOR 5 PATIENT SAMPLES TESTED FOR ELECSYS FT3 III (FT3 III) ON A COBAS E 801 ANALYTICAL UNIT. PATIENT 1 INITIAL RESULT WAS 40.3 PMOL/L. THE REPEAT RESULT WAS 4.81 PMOL/L. PATIENT 2 INITIAL RESULT WAS 10.8 PMOL/L. THE REPEAT RESULT WAS 4.10 PMOL/L. PATIENT 3 INITIAL RESULT WAS 9.88 PMOL/L. THE REPEAT RESULT WAS 4.99 PMOL/L. PATIENT 4 INITIAL RESULT WAS 7.27 PMOL/L. THE REPEAT RESULT WAS 5.85 PMOL/L. PATIENT 5 INITIAL RESULT WAS 7.70 PMOL/L. THE REPEAT RESULT WAS 5.41 PMOL/L. THE QUESTIONABLE RESULTS WERE NOT REPORTED OUTSIDE OF THE LABORATORY.
Additional Manufacturer Narrative
THE E801 ANALYZER SERIAL NUMBER WAS (B)(6). THE CUSTOMER CHECKED HOW THE REAGENT PACK WAS BEING STORED AND NOTED THAT THE FT3 REAGENT PACK WAS LYING DOWN AND NOT UPRIGHT. THE 5 PATIENT SAMPLES WERE REPEATED LATER THE SAME DAY AND THE FT3 III RESULTS WERE REPRODUCIBLE. THE CUSTOMER SUSPECTS BUBBLES IN THE REAGENT AT THE TIME OF THE EVENT EARLIER IN THE DAY. THE INVESTIGATION IS ONGOING.