inforMED
MalfunctionCDX

ELECSYS T4

Received Feb 28, 2024 · Event occurred Feb 7, 2024

Report 1823260-2024-00582 · MDR key 18801756

Device

Generic name

Radioimmunoassay, Total Thyroxine

Manufacturer

Roche Diagnostics

Catalog number

09007784190

Lot number

741920

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings
  • High Test Results
  • Non Reproducible Results
  • Incorrect, Inadequate or Imprecise Result or Readings
  • 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

THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE ROOT CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative

THE ANALYZER SERIAL NUMBER IS (B)(6) . THE CALIBRATION AND QC RECOVERY DATA PROVIDED WAS ACCEPTABLE. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS T4 ASSAY RESULTS FOR 3 PATIENT SAMPLES ON A COBAS E 801 ANALYTICAL UNIT. THE CUSTOMER QUESTIONED THE HIGH INITIAL RESULTS WHICH PROMPTED THEM TO REPEAT THE SAMPLES. FOR SAMPLE 1, THE INITIAL T4 RESULT WAS 24.9 UG/DL WITH FLAG. THE SAMPLE WAS REPEATED AND THE REPEAT RESULT WAS 13.9 UG/DL. THE SAMPLE WAS REPEATED A THIRD TIME THE NEXT DAY AND THE RESULT WAS 8.56 UG/DL. FOR SAMPLE 2, THE INITIAL T4 RESULT WAS 24.9 UG/DL WITH FLAG. THE SAMPLE WAS REPEATED THE NEXT DAY AND THE REPEAT RESULT WAS 8.47 UG/DL. FOR SAMPLE 3, THE INITIAL T4 RESULT WAS 24.9 UG/DL WITH FLAG. THE SAMPLE WAS REPEATED AND THE REPEAT RESULT WAS 8.60 UG/DL. THE SAMPLE WAS REPEATED A THIRD TIME THE NEXT DAY AND THE RESULT WAS 8.63 UG/DL.