inforMED
MalfunctionJGS

ISE SODIUM ELECTRODE

Received Jun 23, 2025 · Event occurred May 29, 2025

Report 1823260-2025-01921 · MDR key 22310072

Device

Generic name

Electrode, Ion Specific, Sodium

Manufacturer

Roche Diagnostics

Catalog number

09237216001

Lot number

DKL54

Product problems

  • High Test Results
  • Output Problem
  • High Test Results
  • Output Problem

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THE ANALYZER'S SERIAL NUMBER IS (B)(6). THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ISE SODIUM ELECTRODE RESULTS FOR 1 PATIENT SAMPLE ON A COBAS PRO ISE ANALYTICAL UNIT. THE INITIAL RESULT WAS 148 MMOL/L. THE REPEATED RESULT WAS 140 MMOL/L. THE SAMPLE WAS REPEATED BECAUSE THE INITIAL RESULT DID NOT MATCH THE PATIENT'S CLINICAL PICTURE. THE REPEATED RESULT WAS OBTAINED ON ANOTHER MODULE AND WAS BELIEVED TO BE CORRECT.

Additional Manufacturer Narrative

THE CUSTOMER CANCELLED A SERVICE VISIT. THE CUSTOMER PRIMED THE REAGENTS, PERFORMED AIR PURGES, AND PERFORMED MAINTENANCE. THE SODIUM QC WAS ACCEPTABLE. THE INVESTIGATION DID NOT DETERMINE A SPECIFIC ROOT CAUSE, BUT DID DETERMINE THAT THE ISSUE WAS RESOLVED BY THE CUSTOMER'S ACTIONS.