inforMED
MalfunctionNIG

ELECSYS CA 19-9

Received Oct 24, 2025 · Event occurred Sep 29, 2025

Report 1823260-2025-04343 · MDR key 23381362

Device

Generic name

Test, Carbohydrate Antigen (ca19-9)

Manufacturer

Roche Diagnostics

Catalog number

07027028214

Lot number

84575601

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

BASED ON THE CALIBRATION AND QC DATA, A GENERAL REAGENT ISSUE COULD BE EXCLUDED. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE ROOT CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative

THE ANALYZER SERIAL NUMBER IS (B)(6). CALIBRATION WAS LAST PERFORMED ON (B)(6) 2025. THE QC RECOVERY DATA PROVIDED WAS ACCEPTABLE. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS CA 19-9 RESULTS FOR 2 PATIENT SAMPLES ON A COBAS E 801 ANALYTICAL UNIT. ON (B)(6) 2025, SAMPLE 1 HAD AN INITIAL RESULT OF 58 U/ML. THE SAMPLE WAS REPEATED ON ANOTHER E801 ANALYZER AND THE RESULT WAS 3 U/ML. THE SAMPLE WAS REPEATED TWO MORE TIMES ON BOTH ANALYZERS AND THE REPEAT RESULTS WERE BOTH 3 U/ML. ON (B)(6) 2025, SAMPLE 2 HAD AN INITIAL RESULT OF 49 U/ML. THE SAMPLE WAS REPEATED ON ANOTHER E801 ANALYZER AND THE RESULT WAS 27 U/ML. THE SAMPLE WAS RECENTRIFUGED AND REPEATED TWO MORE TIMES ON BOTH ANALYZERS. THE REPEAT RESULT ON THE FIRST ANALYZER WAS 29 U/ML AND THE REPEAT ON THE OTHER ANALYZER WAS 28 U/ML.