inforMED
MalfunctionCEO

PHOSPHATE (INORGANIC) VER.2

Received May 29, 2025 · Event occurred Apr 30, 2025

Report 1823260-2025-01638 · MDR key 22104310

Device

Generic name

Phosphomolybdate (colorimetric), Inorganic Phosphorus

Manufacturer

Roche Diagnostics

Catalog number

03183793122

Lot number

83452301

Product problems

  • Low Test Results
  • Low Test Results

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

QC AND CALIBRATION WERE PASSING AT THE TIME OF THE EVENT. THE CUSTOMER DETERMINED THAT THE QUESTIONABLE RESULTS WERE DUE TO THE PATIENT SAMPLES. THE INVESTIGATION DETERMINED THAT THERE WAS NO PRODUCT ISSUE.

Additional Manufacturer Narrative

THE COBAS 8000 COBAS C 502 MODULE SERIAL NUMBERS ARE (B)(6). THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE PHOSPHATE (INORGANIC) VER.2 RESULTS FROM THE COBAS 8000 COBAS C 502 MODULE. PATIENT 1'S INITIAL RESULT ON (B)(6) 2025 WAS 6.8 MG/DL. A REPEAT RESULT ON (B)(6) 2025 WAS 8.3 MG/DL. ANOTHER REPEAT RESULT AFTER A 1:2 DILUTION WAS 3 MG/DL. PATIENT 2'S INITIAL RESULT ON (B)(6) 2025 WAS 8.4 MG/DL. A REPEAT RESULT ON (B)(6) 2025 WAS 8.5 MG/DL. ANOTHER REPEAT RESULT AFTER A 1:2 DILUTION WAS 3.4 MG/DL. THE CUSTOMER IS UNSURE WHICH RESULTS ARE CORRECT.