inforMED
MalfunctionCEK

TP2

Received Sep 6, 2024 · Event occurred Aug 4, 2024

Report 1823260-2024-02579 · MDR key 20157505

Device

Generic name

Biuret (colorimetric), Total Protein

Manufacturer

Roche Diagnostics

Catalog number

04657586190

Lot number

770129

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings
  • Material Integrity Problem
  • Incorrect, Inadequate or Imprecise Result or Readings
  • Material Integrity Problem

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

NO QUESTIONABLE RESULTS WERE REPORTED OUTSIDE THE LABORATORY. THE DATA WAS REQUESTED FOR INVESTIGATION BUT IT WAS NOT PROVIDED DESPITE SEVERAL REMINDERS. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.

Additional Manufacturer Narrative

THE COBAS C111 ANALYZER SERIAL NUMBER WAS (B)(6). THE INVESTIGATION IS ONGOING.

Description of Event or Problem

WE RECEIVED AN ALLEGATION ABOUT DISCREPANT RESULTS FOR 2 PATIENTS' SAMPLES TESTED WITH TOTAL PROTEIN 400T (TP2) ASSAY ON A COBAS C111 ANALYZER. SAMPLE 1 (PATIENT 1): INITIAL RESULT: 5.9 MG/DL. REPEAT RESULT: 7.2 MG/DL (TESTED WITH A NEW REAGENT VIAL). THE UNIT OF MEASUREMENT OF MG/DL WAS REQUESTED TO BE VERIFIED BUT A CLARIFICATION WAS NOT RECEIVED YET. SAMPLE 2 (PATIENT 2): INITIAL RESULT: 6.0. REPEAT RESULT: 7.1 (TESTED WITH A NEW REAGENT VIAL). THE UNIT OF MEASUREMENT WAS NOT PROVIDED. THE PHYSICIAN QUESTIONED THE INITIAL RESULTS AS THEY DID NOT MATCH THE PATIENT'S CLINICAL PICTURE AND REQUESTED THE SAMPLES TO BE REPEATED.