inforMED
MalfunctionJGS

ELECTRODE, SODIUM

Received Mar 12, 2025 · Event occurred Feb 10, 2025

Report 1823260-2025-00708 · MDR key 21582990

Device

Generic name

Electrode, Ion Specific, Sodium

Manufacturer

Roche Diagnostics

Catalog number

21029371001

Lot number

ASKU

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 FIELD SERVICE REPRESENTATIVE REMOTELY ASSISTED THE CUSTOMER IN REPLACING THE NA ELECTRODE, EXTRA ACTIVATION, AND AIR/WATER CALIBRATION, WHICH RESOLVED THE CALIBRATION ISSUES. THE CUSTOMER DID NOT REPORT ANY OTHER ISSUES. THE INVESTIGATION DETERMINED THAT THE CUSTOMER'S ACTION (NA ELECTRODE REPLACEMENT) RESOLVED THE ISSUE.

Additional Manufacturer Narrative

THE SERIAL NUMBER OF THE CUSTOMER'S COBAS INTEGRA 400 PLUS IS (B)(6). THE CALIBRATION RESULTS HAD DATA FLAGS. THE QC RESULTS HAD DATA FLAGS SURROUNDING THE DATE OF EVENT. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THE INITIAL REPORTER RECEIVED QUESTIONABLE NA ELECTRODE ASSAY RESULTS FROM MULTIPLE PATIENT SAMPLES TESTED ON THE COBAS INTEGRA 400 PLUS. THE FOLLOWING ARE EXAMPLES OF DISCREPANT RESULTS FROM THE ANALYZER: SAMPLE 1 THE INITIAL NA RESULT WAS 132 MMOL/L. THE REPEAT RESULT WAS 139 MMOL/L. SAMPLE 2 THE INITIAL NA RESULT WAS 132 MMOL/L. THE REPEAT RESULT WAS 138 MMOL/L. SAMPLE 3 THE INITIAL NA RESULT WAS 134 MMOL/L. THE REPEAT RESULT WAS 140 MMOL/L. THE INITIAL RESULTS WERE BELOW THE REFERENCE RANGE, PROMPTING THE PATIENT SAMPLE RERUNS. THE REPEAT RESULTS WERE DEEMED CORRECT. THE REPORTER STATED THEY ALSO RECEIVED ION-SELECTIVE ELECTRODE (ISE) UNSTABLE AND SOLUTION ERRORS.