inforMED
MalfunctionCDD

ELECSYS VITAMIN B12 II

Received Dec 6, 2024 · Event occurred Nov 16, 2024

Report 1823260-2024-03568 · MDR key 20867912

Device

Generic name

Radioassay, Vitamin B12

Manufacturer

Roche Diagnostics

Catalog number

07212771190

Lot number

79232203

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings
  • Low Test Results
  • Non Reproducible Results
  • Incorrect, Inadequate or Imprecise Result or Readings
  • Low 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 E602 MODULE SERIAL NUMBER WAS (B)(6).

Description of Event or Problem

THE INITIAL REPORTER COMPLAINED OF A DISCREPANT LOW RESULT FOR 1 PATIENT SAMPLE TESTED FOR ELECSYS VITAMIN B12 II (VITAMIN B12 II) ON A COBAS 8000 E 602 MODULE. THE INITIAL RESULT WAS < 50 PG/ML WITH A DATA FLAG. THE INSTRUMENT AUTOMATICALLY REPEATED THE SAMPLE WITH A RESULT OF 691.5 PG/ML. ON (B)(6) 2024 THE CUSTOMER REPEATED THE SAMPLE WITH A RESULT OF 617.2 PG/ML. THE REPEAT RESULTS WERE BELIEVED TO BE CORRECT.

Additional Manufacturer Narrative

CALIBRATION SIGNALS WERE HIGHER THAN EXPECTED. QC WAS ACCEPTABLE. "ABNORMAL SAMPLE ASPIRATION", "ABNORMAL ASPIRATION (SAMPLE PROBE)" AND "ABNORMAL SAMPLE PROBE MOVEMENT" ALARMS WERE OBSERVED ON THE ALARM TRACE DATA FROM (B)(6) 2024 AND (B)(6) 2024. THESE ALARMS SUGGEST SAMPLE QUALITY ISSUES. BASED ON THE INFORMATION PROVIDED, THE CAUSE OF THE EVENT COULD NOT BE DETERMINED. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.