inforMED
MalfunctionJKD

ELECSYS C-PEPTIDE

Received Sep 5, 2025 · Event occurred Aug 11, 2025

Report 1823260-2025-02772 · MDR key 22983126

Device

Generic name

C-peptide Ivd, Kit, Chemiluminescent Immunoassay

Manufacturer

Roche Diagnostics

Catalog number

07027168188

Lot number

77777801

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings
  • High Readings
  • Low Readings
  • Incorrect, Inadequate or Imprecise Result or Readings
  • High Readings
  • Low Readings

Patient

NA · Unknown

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

Narrative

Description of Event or Problem

WE RECEIVED AN ALLEGATION ABOUT DISCREPANT RESULTS FOR 4 PATIENTS' SAMPLES TESTED WITH ELECSYS C-PEPTIDE ASSAY ON A COBAS E 801 MODULE. SAMPLE 1: INITIAL RESULT: <6.67 NMOL/L. REPEAT RESULT: 1096 NMOL/L. SAMPLE 2: INITIAL RESULT: <6.67 NMOL/L. REPEAT RESULT: 468 NMOL/L. SAMPLE 3: INITIAL RESULT: <6.67 NMOL/L. REPEAT RESULT: 1619 NMOL/L. SAMPLE 4: INITIAL RESULT: <6.67 NMOL/L. REPEAT RESULT: 876 NMOL/L.

Additional Manufacturer Narrative

THE COBAS E 801 MODULE SERIAL NUMBER WAS (B)(6). THE ALARM TRACE SHOWED A REAGENT KIT ALARM (REAGENT PROBE). NO ISSUE WAS OBSERVED WITH THE REAGENT NEEDLE. THE PRE-ANALYTIC DATA SHOWED THAT THE SERUM HAD NO CLOTS OR BLOOD STREAKS. THE CUSTOMER REPLACED THE REAGENT WITH ANOTHER REAGENT PACK OF THE SAME LOT. A GENERAL REAGENT PROBLEM CAN BE EXCLUDED, BECAUSE ANOTHER REAGENT KIT OF THE SAME LOT PERFORMED ACCORDING TO EXPECTATIONS AT THIS CUSTOMER¿S SITE. A CLEAR ROOT CAUSE COULD NOT BE DETERMINED, ALTHOUGH THE ISSUE IS CONSISTENT WITH A TRANSPORTATION/STORAGE ISSUE. THE ISSUE WAS RESOLVED BY USING ANOTHER REAGENT PACK OF THE SAME LOT.