inforMED
MalfunctionNIG

ELECSYS CA 19-9

Received Aug 14, 2025 · Event occurred Jul 25, 2025

Report 1823260-2025-02498 · MDR key 22806548

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Product code (NIG)
Manufacturer (Roche Diagnostics International Ltd.)
Model (07027028214)

Device

Generic name

Test, Carbohydrate Antigen (ca19-9)

Manufacturer

Roche Diagnostics

Catalog number

07027028214

Lot number

82090602

Product problems

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

Patient

70 YR · Female

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

Narrative

Additional Manufacturer Narrative

THE COBAS E 801 ANALYTICAL UNIT SERIAL NUMBER IS (B)(6). A FIELD SERVICE ENGINEER (FSE) CHECKED THE INSTRUMENT BUT WAS UNABLE TO IDENTIFY THE FAILED PART. THE FSE PERFORMED A SIPPER LINE CLEANING, AND THE SEAL SUCTION PINCH VALVE AND PINCH VALVE TUBE WERE REPLACED. DISPENSATION ACCURACY WAS ALSO CONFIRMED. FUNCTION AND OPERATION CHECKS WERE PERFORMED AS A TOTAL CHECK. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS CA 19-9 RESULTS FROM THE COBAS E 801 ANALYTICAL UNIT. RESULTS WERE PROVIDED FOR 1 PATIENT THAT IS A REPORTABLE MALFUNCTION. THE INITIAL RESULT WAS 55.1 U/ML, AND THE REPEAT RESULT WAS 9.0 U/ML, ACCOMPANIED BY A DATA FLAG. IT WAS ASKED BUT NOT PROVIDED, WHICH OF THE RESULTS WAS BELIEVED TO BE CORRECT.

Additional Manufacturer Narrative

NO CALIBRATION INFLUENCE WAS OBSERVED. QC WAS WITHIN RANGE ON THE DATE OF THE EVENT. THERE WEREN'T ANY RELEVANT ALARMS OBSERVED IN THE ALARM TRACE REPORT PROVIDED. A FIELD SERVICE ENGINEER (FSE) REPLACED THE REAGENT PROBE AND CHANGED THE PINCH VALVE TUBING. DUE TO THE LIMITED INFORMATION AVAILABLE ABOUT THE ISSUE, THE ROOT CAUSE COULD NOT BE DETERMINED. A GENERAL REAGENT OR ANALYZER PROBLEM WAS NOT PRESENT BECAUSE THE QC PRIOR TO THE EVENT WAS WITHIN RANGES.