inforMED
MalfunctionLFZ

ELECSYS CMV IGG

Received May 9, 2025 · Event occurred Apr 10, 2025

Report 1823260-2025-01430 · MDR key 21993039

Device

Generic name

Cytomegalovirus Immunoassay

Manufacturer

Roche Diagnostics

Catalog number

09118551190

Lot number

823186

Product problems

  • Low Test Results
  • Low Test Results

Patient

NA · Female

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

Narrative

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS CMV IGG RESULTS FOR 4 PATIENT SAMPLES ON A COBAS E 801 ANALYTICAL UNIT. PATIENT 1: THE ELECSYS CMV IGG RESULT WAS < 0.15 U/ML (NON-REACTIVE). ON (B)(6) 2024, THE CMV IGG RESULT USING THE ABBOTT ALINITY METHOD WAS 22.770 UI/ ML (REACTIVE). THE AVIDITY WAS 98.9 %. PATIENT 2: ON (B)(6) 2025, THE ELECSYS CMV IGG RESULT WAS < 0.15 U/ML (NON-REACTIVE). THE CMV IGM RESULT WAS 0.345 COI (NON-REACTIVE). ON (B)(6) 2024, THE CMV IGG RESULT USING THE ABBOTT ALINITY METHOD WAS 14.14 UI/ML (REACTIVE). PATIENT 3: ON (B)(6) 2025, THE ELECSYS CMV IGG RESULT WAS < 0.15 U/ML (NON-REACTIVE). ON (B)(6) 2025, THE CMV IGG RESULT USING THE ABBOTT ALINITY METHOD WAS 9.530 UI/ML (REACTIVE). PATIENT 4: ON (B)(6) 2025, THE ELECSYS CMV IGG RESULT WAS < 0.15 U/ML (NON-REACTIVE). THE CMV IGM RESULT WAS 0.137 COI (NON-REACTIVE). ON (B)(6) 2025, THE CMV IGG RESULT USING THE ABBOTT ALINITY METHOD WAS 11.590 UI/ML (REACTIVE). THE CMV IGM RESULTS FOR ALL OF THE PATIENTS WERE NEGATIVE.

Additional Manufacturer Narrative

THE ANALYZER'S SERIAL NUMBER IS (B)(6). THE SAMPLES WERE REQUESTED FOR INVESTIGATION. THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative

D4 EXPIRATION DATE WAS UPDATED. THE CALIBRATION AND QC WERE ACCEPTABLE. THE PATIENT SAMPLES WERE INVESTIGATED. THE NON-REACTIVE ELECSYS CMV IGG RESULTS WERE REPRODUCIBLE FOR ALL SAMPLES. EXTENSIVE ANALYSIS OF THE PATIENT SAMPLES REVEALED THAT PATIENT 2 AND PATIENT 4 HAD CORRECT NEGATIVE RESULTS. THE NON-REACTIVE RESULT FOR PATIENT 3 IS CONSIDERED A FALSE NEGATIVE, AND THE IMMUNE STATUS OF PATIENT 1 COULD NOT BE CONFIDENTLY ASSESSED DESPITE EXTENSIVE ANALYSIS. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.