inforMED
MalfunctionDHX

ELECSYS CEA

Received May 9, 2025 · Event occurred Apr 16, 2025

Report 1823260-2025-01458 · MDR key 21996643

Device

Generic name

Carcinoembryonic Antigen Test System

Manufacturer

Roche Diagnostics

Catalog number

07027079190

Lot number

80117601

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

A GENERAL REAGENT OR ANALYZER PROBLEM CAN BE EXCLUDED BECAUSE THE QC AFTER 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 INVESTIGATION IS ONGOING.

Description of Event or Problem

WE RECEIVED AN ALLEGATION ABOUT DISCREPANT RESULTS FOR 4 PATIENTS' SAMPLES TESTED WITH ELECSYS CEA ASSAY ON A COBAS E801 ANALYTICAL UNIT. SAMPLE 1: INITIAL RESULT: <0.3 NG/ML (ACCOMPANIED BY A DATA FLAG). REPEAT RESULT: 855 NG/ML. SAMPLE 2: INITIAL RESULT: <0.3 NG/ML (ACCOMPANIED BY A DATA FLAG). REPEAT RESULT: 7.69 NG/ML. SAMPLE 3: INITIAL RESULT: <0.3 NG/ML (ACCOMPANIED BY A DATA FLAG). REPEAT RESULT: 2.87 NG/ML. SAMPLE 4: INITIAL RESULT: <0.3 NG/ML (ACCOMPANIED BY A DATA FLAG). REPEAT RESULT: 1.89 NG/ML. THE INITIAL RESULTS WERE LOWER THAN THE TECHNICAL TEST LIMIT, PROMPTING THE REPEAT OF THE SAMPLES. THE REPEAT RESULTS WERE DEEMED TO BE CORRECT.