inforMED
MalfunctionJIF

AMMONIA II

Received Mar 17, 2025 · Event occurred Feb 21, 2025

Report 1823260-2025-00749 · MDR key 21617667

Device

Generic name

Enzymatic Ammonia Method

Manufacturer

Roche Diagnostics

Catalog number

07229593190

Lot number

83242101

Product problems

  • Low Test Results
  • Low Test Results

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THE COBAS 8000 COBAS C 502 MODULE SERIAL NUMBER WAS (B)(6). THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE AMMONIA II RESULTS FROM THE COBAS 8000 COBAS C 502 MODULE. THE INITIAL RESULT WAS 34.2 UMOL/L. THE RESULT FROM AN ABBOTT ALINITY I ANALYZER WAS 302.4 UMOL/L. THE CUSTOMER REPEATED THE SAME SAMPLE ON BOTH ANALYZERS. THE REPEAT RESULT FROM THE COBAS C502 WAS 54.4 UMOL/L. THE REPEAT RESULT FROM THE ABBOTT ALINITY I WAS 309.8 UMOL/L. THE RESULTS FROM THE ABBOTT ALINITY I ANALYZER WERE BELIEVED TO BETTER FIT THE PATIENT'S CLINICAL PICTURE.

Additional Manufacturer Narrative

THERE WAS NO EVIDENCE TO SUGGEST A MALFUNCTION OF THE DEVICE, AS THE VALUES ON THE COBAS C 502 WERE REPRODUCIBLE. THE INVESTIGATION DETERMINED THE ISSUE WAS CONSISTENT WITH TO PRE-ANALYTICAL HANDLING ISSUES AT THE CUSTOMER SITE. CORRECT PRE-ANALYTIC SAMPLE HANDLING IS WITHIN THE CUSTOMER'S RESPONSIBILITY.