inforMED
MalfunctionNIG

ELECSYS CA 19-9 IMMUNOASSAY

Received Apr 22, 2025 · Event occurred Mar 18, 2025

Report 1823260-2025-01225 · MDR key 21881672

Device

Generic name

Test, Carbohydrate Antigen (ca19-9)

Manufacturer

Roche Diagnostics

Catalog number

11776193122

Lot number

78239105

Product problems

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

Patient

46 YR · Unknown

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

Narrative

Additional Manufacturer Narrative

THE COBAS E411 RACK SERIAL NUMBER WAS (B)(6). THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS CA 19-9 RESULTS FROM THE COBAS E411 RACK ANALYZER. THE INITIAL RESULT WAS 55.53 U/ML. THE REPEAT RESULTS WERE 0.979 U/ML AND 1.61 U/ML. ADDITIONAL RESULTS OF 0.200 NG/ML WITH A DATA FLAG AND 1.97 NG/ML WERE PROVIDED FROM THE DATE OF (B)(6) 2025. IT WAS UNCLEAR IF THESE RESULTS WERE ADDITIONAL REPEAT TESTS OF THE SAMPLE. CLARIFICATION WAS REQUESTED BUT HAS NOT YET BEEN PROVIDED. THE RESULT OF 0.979 U/ML WAS RELEASED DUE TO THE PATIENT'S CLINICAL CONDITION.

Additional Manufacturer Narrative

DUE TO THE LIMITED INFORMATION PROVIDED, THE INVESTIGATION WAS UNABLE TO DETERMINE A SPECIFIC ROOT CAUSE. A GENERAL REAGENT OR ANALYZER PROBLEM WAS NOT PRESENT BECAUSE THE QC BEFORE THE EVENT WAS WITHIN RANGE. THERE WAS NO PRODUCT PROBLEM IDENTIFIED.