inforMED
MalfunctionNIG

ELECSYS CA 19-9

Received Jun 18, 2025 · Event occurred May 21, 2025

Report 1823260-2025-01887 · MDR key 22284499

Device

Generic name

Test, Carbohydrate Antigen (ca19-9)

Manufacturer

Roche Diagnostics

Catalog number

07027028214

Lot number

820906

Product problems

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

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

PREVENTIVE MAINTENANCE WAS PERFORMED ON THE ANALYZER, INCLUDING EXCHANGE OF THE MEASURING CELL, GEAR PUMP, AND SYRINGE SEAL. THE INVESTIGATION COULD NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative

THE SERIAL NUMBER OF THE E801 ANALYZER IS (B)(6). CALIBRATION AND CONTROLS WERE ACCEPTABLE. ISOLATED NON-REPRODUCIBLE RESULTS DO NOT REPRESENT A GENERAL MALFUNCTION OF THE ASSAY. A REVIEW OF THE ALARM TRACE DATA SHOWED NO RELEVANT ALARMS. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THE INITIAL REPORTER STATED THEY RECEIVED DISCREPANT RESULTS FOR ONE PATIENT SAMPLE TESTED WITH ELECSYS CA 19-9 AND COBAS E 801 ANALYTICAL UNIT. NO QUESTIONABLE RESULTS WERE REPORTED OUTSIDE OF THE LABORATORY. THE SAMPLE INITIALLY RESULTED IN A CA 19-9 VALUE OF 53.8 U/ML. THE PATIENT'S PREVIOUS VALUE WAS AROUND 25 U/ML, SO THE CUSTOMER DECIDED TO REPEAT THE SAMPLE. THE SAMPLE WAS REPEATED FOUR TIMES, RESULTING IN VALUES OF 28.1 U/ML, 28.5 U/ML, 27.8 U/ML, AND 28.3 U/ML.