inforMED
MalfunctionNBC

ELECSYS PROBNP II

Received Mar 26, 2025 · Event occurred Feb 28, 2025

Report 1823260-2025-00894 · MDR key 21700473

Device

Generic name

Natriuretic Peptide Test

Manufacturer

Roche Diagnostics

Catalog number

09315284190

Lot number

834627

Product problems

  • Low Test Results
  • Non Reproducible Results
  • 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

E1 INITIAL REPORTER ESTABLISHMENT NAME: (B)(6) THE ANALYZER'S SERIAL NUMBER IS (B)(6). THE FIELD SERVICE REPRESENTATIVE FOUND ABNORMALITIES WITH QC ON THE MEASURING CELL. HE REPLACED THE PINCH VALVES AND PINCH TUBE FOR THE SYRINGE AND PERFORMED LIQUID FLOW PATH CLEANING. HE PERFORMED CHECKS AND TESTS WITH ACCEPTABLE RESULTS. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS PROBNP II RESULTS FOR 1 PATIENT SAMPLE ON A COBAS E 801 ANALYTICAL UNIT. THE INITIAL RESULT WAS 385 PG/ML. THE CLINICIAN QUESTIONED THE RESULT AND REQUESTED THAT THE SAMPLE BE REPEATED BECAUSE THE PATIENT'S RESULT IS TYPICALLY AROUND 10,000 PG/ML. THE REPEATED RESULT WAS 19265 PG/ML.

Additional Manufacturer Narrative

THE CALIBRATION AND QC WERE ACCEPTABLE. A GENERAL REAGENT ISSUE WAS EXCLUDED. THE INVESTIGATION COULD NOT DETERMINE IF THE SERVICE ACTIONS WERE RELATED TO THE ISSUE. THE INVESTIGATION COULD NOT DETERMINE A CLEAR ROOT CAUSE. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.