inforMED
MalfunctionCDD

ELECSYS VITAMIN B12 II

Received May 24, 2024 · Event occurred May 2, 2024

Report 1823260-2024-01563 · MDR key 19394724

Device

Generic name

Radioassay, Vitamin B12

Manufacturer

Roche Diagnostics

Catalog number

07028121190

Lot number

769866

Product problems

  • Low Test Results
  • Non Reproducible Results
  • Low Test Results
  • Non Reproducible Results

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THE INITIAL REPORTER COMPLAINED OF A DISCREPANT LOW RESULT FOR 1 PATIENT SAMPLE TESTED FOR ELECSYS VITAMIN B12 II (B12 II) ON A COBAS E 801 ANALYTICAL UNIT. THE INITIAL RESULT WAS <100 PG/ML WITH A DATA FLAG. THIS RESULT WAS REPORTED OUTSIDE OF THE LABORATORY WHERE THE CLINICIAN DID NOT AGREE WITH THE RESULT AS IT WAS NOT CONSISTENT WITH THE PATIENT¿S PRIOR RESULT. THE REPEAT RESULT WAS 1388 PG/ML.

Additional Manufacturer Narrative

THE E801 ANALYZER SERIAL NUMBER WAS (B)(6). CALIBRATION AND QC WERE ACCEPTABLE. INSTRUMENT PERFORMANCE TESTING FROM (B)(6) 2024 WAS ACCEPTABLE. REPEATABILITY TESTING WAS ACCEPTABLE. THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative

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