inforMED
MalfunctionCEO

PHOS2

Received Oct 3, 2024 · Event occurred Sep 10, 2024

Report 1823260-2024-02872 · MDR key 20362223

Device

Generic name

Phosphomolybdate (colorimetric), Inorganic Phosphorus

Manufacturer

Roche Diagnostics

Catalog number

03183793122

Lot number

75436701

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings
  • Low Test Results
  • Incorrect, Inadequate or Imprecise Result or Readings
  • Low Test 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 CAUSE OF THE EVENT COULD NOT BE DETERMINED BASED ON THE PROVIDED INFORMATION. A GENERAL REAGENT ISSUE COULD BE EXCLUDED, AS THE GLOBAL LOT PERFORMANCE WAS INCONSPICUOUS. A LOCAL ISSUE WITH THE REAGENT LOT WAS FEASIBLE, WITH POSSIBLE CONTRIBUTING FACTORS SUCH AS SHIPPING/STORAGE/HANDLING/ALTERED INSTRUMENT CONDITION.

Additional Manufacturer Narrative

THE COBAS 6000 C501 MODULE SERIAL NUMBER WAS (B)(6). THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE PHOS2 RESULTS FROM THE COBAS 6000 C501 MODULE. THE INITIAL RESULT WAS 1.2 MMOL/L AND THE REPEAT RESULT WAS 1.57 MMOL/L. THE QUESTIONABLE RESULT WAS NOT REPORTED OUTSIDE OF THE LABORATORY.