inforMED
MalfunctionJGS

NA ELECTRODE

Received May 22, 2024 · Event occurred Apr 29, 2024

Report 1823260-2024-01522 · MDR key 19371202

Device

Generic name

Electrode, Ion Specific, Sodium

Manufacturer

Roche Diagnostics

Catalog number

05641497001

Lot number

ASKU

Product problems

  • High Test Results
  • High Test Results

Patient

NA · 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 GEN.2 ISE INDIRECT FOR NA RESULTS FOR 3 PATIENT SAMPLES ON A COBAS 8000 COBAS ISE MODULE. FOR SAMPLE 1, THE INITIAL NA RESULTS WERE 143 MMOL/L AND 142 MMOL/L. THE SAMPLE WAS REPEATED ON AN ISE 8000 ANALYZER AND THE RESULT WAS 136 MMOL/L. THE SAMPLE WAS REPEATED AGAIN ON AN C501 ANALYZER AND THE RESULT WAS 136 MMOL/L. FOR SAMPLE 2, THE INITIAL NA RESULT WAS 136 MMOL/L. THE SAMPLE WAS REPEATED TWICE ON AN ISE 8000 ANALYZER AND THE RESULTS WERE 131 MMOL/L AND 130 MMOL/L. THE SAMPLE WAS REPEATED AGAIN ON AN C501 ANALYZER AND THE RESULT WAS 133 MMOL/L. FOR SAMPLE 3, THE INITIAL NA RESULT WAS 137 MMOL/L. THE SAMPLE WAS REPEATED ON AN ISE 8000 ANALYZER AND THE RESULT WAS 131 MMOL/L. THE SAMPLE WAS REPEATED AGAIN ON AN C501 ANALYZER AND THE RESULT WAS 135 MMOL/L.

Additional Manufacturer Narrative

THE ANALYZER SERIAL NUMBER IS (B)(6). THE CUSTOMER REPLACED THE NA ELECTRODE AND PERFORMED CORRELATION TESTING ON THE SAMPLES 1 AND 3 SUCCESSFULLY. THE REPLACEMENT OF THE NA ELECTRODE RESOLVED THE ISSUE.