inforMED
MalfunctionJGS

SODIUM ELECTRODE

Received Jul 10, 2025 · Event occurred Jun 28, 2025

Report 1823260-2025-02101 · MDR key 22467745

Device

Generic name

Electrode, Ion Specific, Sodium

Manufacturer

Roche Diagnostics

Catalog number

10825468001

Lot number

DDK

Product problems

  • High Test Results
  • High Test Results

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THE COBAS PRO ISE ANALYTICAL UNIT SERIAL NUMBER WAS (B)(6). THE FIELD SERVICE ENGINEER FOUND THE ISSUE WAS DUE TO THE ISE ELECTRODES BEING RECENTLY REPLACED. HE CONDITIONED THE ELECTRODES, COMPLETED ISE CHECKS, CALIBRATION, QC, AND PERFORMED PRECISION. ALL RESULTS WERE ACCEPTABLE. THE INVESTIGATION DETERMINED THAT THE SERVICE ACTIONS RESOLVED THE ISSUE.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ISE RESULTS FROM THE COBAS PRO ISE ANALYTICAL UNIT. THE INITIAL SODIUM RESULT WAS 153 MMOL/L. THE REPEAT RESULT FROM ANOTHER COBAS PRO ISE ANALYTICAL UNIT WAS 145 MMOL/L. THE QUESTIONABLE RESULT WAS NOT REPORTED OUTSIDE OF THE LABORATORY. THE REPEAT RESULT WAS BELIEVED TO BE CORRECT.