inforMED
MalfunctionNIG

ELECSYS CA 19-9 IMMUNOASSAY

Received Mar 5, 2025 · Event occurred Feb 10, 2025

Report 1823260-2025-00633 · MDR key 21526381

Device

Generic name

Test, Carbohydrate Antigen (ca19-9)

Manufacturer

Roche Diagnostics

Catalog number

11776193122

Lot number

782391

Product problems

  • High Test Results
  • Insufficient Device Problem Information
  • Non Reproducible Results
  • High Test Results
  • Insufficient Device Problem Information
  • Non Reproducible Results

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

DUE TO THE LIMITED INFORMATION AVAILABLE ABOUT THE ISSUE, A DIRECT ROOT CAUSE COULD NOT BE DETERMINED.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS CA 19-9 RESULTS FROM THE COBAS 6000 E601 MODULE. ON (B)(6) 2025 THE INITIAL RESULT WAS 42.92 U/ML, AND THE REPEAT RESULT WAS 17.84 U/ML. THE QUESTIONABLE RESULT WAS NOT RELEASED OUTSIDE OF THE LAB AND THE REPEAT RESULT WAS DEEMED TO BE CORRECT. ON (B)(6) 2025 THE INITIAL RESULT WAS 162.4 U/ML, AND THE REPEAT RESULTS WERE 17.05 U/ML, 11.73 U/ML, AND 12.4 U/ML. ON (B)(6) 2025 THE INITIAL RESULT WAS 28.45 U/ML, AND THE REPEAT RESULTS WITH A DIFFERENT REAGENT PACK WERE 6.45 U/ML, 6.27 U/ML, AND 6.27 U/ML.

Additional Manufacturer Narrative

THE COBAS 6000 E601 MODULE SERIAL NUMBER IS (B)(6). THE INVESTIGATION IS ONGOING.