inforMED
MalfunctionCFJ

LACTATE DEHYDROGENASE ACC. IFCC VER.2

Received Feb 28, 2025 · Event occurred Feb 6, 2025

Report 1823260-2025-00585 · MDR key 21491686

Device

Generic name

Lactate Dehydrogenase Test System

Manufacturer

Roche Diagnostics

Catalog number

08057958190

Lot number

837913

Product problems

  • Non Reproducible Results
  • Non Reproducible Results

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THE COBAS C 503 ANALYTICAL UNIT'S SERIAL NUMBERS ARE (B)(6). THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE LACTATE DEHYDROGENASE ACC. IFCC VER.2 RESULTS FROM THE COBAS C 503 ANALYTICAL UNIT. SAMPLE (B)(6) INITIAL RESULT WAS 435 U/L, AND THE REPEAT RESULT WAS 326 U/L. SAMPLE (B)(6) INITIAL RESULT FROM ANOTHER C503 WAS 797 U/L, AND THE REPEAT RESULT WAS 301 U/L.

Additional Manufacturer Narrative

A FIELD SERVICE ENGINEER (FSE) PERFORMED AN INSTRUMENT AND HARDWARE CHECK, CHECKED THE WASHING STATION AND NEEDLE CENTERING. NO ISSUES WERE FOUND. THEY SET UP SOME RULES IN THE SYSTEM TO REPEAT SAMPLES WITH HIGH LACTATE DEHYDROGENASE ACC. IFCC VER.2 RESULTS. THE ROOT CAUSE WAS DETERMINED TO BE A SAMPLE-RELATED ISSUE IN THE PRE-ANALYTICAL SAMPLING PROCESS. THE INVESTIGATION IS COMPLETE WITH NO PRODUCT ISSUE FOUND.