inforMED
MalfunctionNIG

ELECSYS CA 19-9

Received Apr 1, 2025 · Event occurred Mar 7, 2025

Report 1823260-2025-00947 · MDR key 21738212

Device

Generic name

Test, Carbohydrate Antigen (ca19-9)

Manufacturer

Roche Diagnostics

Catalog number

07027028188

Lot number

79417901

Product problems

  • High Test Results
  • Non Reproducible Results
  • High Test Results
  • Non Reproducible Results

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THE ALARM TRACE SHOWED 2 "SAMPLE CLOT DETECTION" ALARMS ON (B)(6) 2025. A GENERAL REAGENT PROBLEM CAN BE EXCLUDED BECAUSE THE QC PRIOR TO THE EVENT WAS WITHIN RANGES. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative

THE COBAS E801 ANALYTICAL UNIT SERIAL NUMBER WAS (B)(6). THE QC WAS PROVIDED FROM 01-FEB-2025 TO 28-FEB-2025 AND IT WAS WITHIN RANGE. THE FIELD SERVICE ENGINEER RETESTED 2 RANDOM SAMPLES WITH HIGH RESULTS AND THE REPEAT RESULTS WERE ALSO HIGH. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

WE RECEIVED AN ALLEGATION ABOUT DISCREPANT RESULTS FOR 1 PATIENT SAMPLE TESTED WITH ELECSYS CARBOHYDRATE ANTIGEN 19-9 (CA 19-9) ASSAY ON A COBAS E801 ANALYTICAL UNIT. INITIAL RESULT: 114 U/ML. THE CUSTOMER NOTICED THAT THE INITIAL RESULT DID NOT MATCH THE PATIENT'S CLINICAL DIAGNOSIS. NO QUESTIONABLE RESULT WAS REPORTED OUTSIDE THE LABORATORY AND THE SAMPLE WAS REPEATED. REPEAT RESULT: 2.00 U/ML (ACCOMPANIED BY A DATA FLAG). THE REPEAT RESULT WAS DEEMED TO BE CORRECT.