inforMED
MalfunctionNIG

ELECSYS CA 19-9 IMMUNOASSAY

Received Jun 10, 2025 · Event occurred May 14, 2025

Report 1823260-2025-01785 · MDR key 22176056

Device

Generic name

Test, Carbohydrate Antigen (ca19-9)

Manufacturer

Roche Diagnostics

Catalog number

11776193122

Lot number

782391

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings
  • Low Test Results
  • Non Reproducible Results
  • Incorrect, Inadequate or Imprecise Result or Readings
  • 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

THE COBAS E 411 ANALYZER (DISK SYSTEM) SERIAL NUMBER IS (B)(6). QC WAS IN RANGE ON THE DAY OF THE EVENT. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF A QUESTIONABLE ELECSYS CA 19-9 RESULT FROM THE COBAS E 411 ANALYZER (DISK SYSTEM). THE INITIAL RESULT WAS 7.4 IU/ML. THE PATIENT WAS RETESTED AT ANOTHER LAB WITH A RESULT OF 940 IU/ML. THE INITIAL SAMPLE WAS RETESTED, AND THE REPEAT RESULT WAS 710 IU/ML.

Additional Manufacturer Narrative

THE INITIAL RESULT REPORTED WAS APPROXIMATE. THE EXACT INITIAL RESULT OF 7.54 U/ML WAS PROVIDED. ANOTHER REPEAT RESULT OF 926.5 U/ML FROM THE REPORTED COBAS E 411 WAS PROVIDED. THE CALIBRATION AND QC DATA PROVIDED WERE SEVERAL DAYS AFTER THE EVENT. THE CUSTOMER HAS HAD SEVERAL QC POINTS OUT OF RANGE, WHICH CAN INDICATE THAT THERE MIGHT BE A GENERAL QC HANDLING ISSUE OR AN INSTRUMENT ISSUE PRESENT. THE INVESTIGATION WAS UNABLE TO DETERMINE A DIRECT ROOT CAUSE.