inforMED
MalfunctionJGS

ELECTRODE, SODIUM

Received Oct 28, 2025 · Event occurred Oct 5, 2025

Report 1823260-2025-04380 · MDR key 23405419

Device

Generic name

Electrode, Ion Specific, Sodium

Manufacturer

Roche Diagnostics

Catalog number

21029371001

Lot number

ASKU

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings
  • Failure to Calibrate
  • Calibration Problem
  • Incorrect, Inadequate or Imprecise Result or Readings
  • Failure to Calibrate
  • Calibration Problem

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THE CUSTOMER STATED THAT THEIR QC WAS NOT WITHIN SPECIFICATION. THE SERVICE MAINTENANCE ACTIONS PERFORMED BY THE FSE RESOLVED THE ISSUE. THE ROOT CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECTRODE, SODIUM RESULTS FOR 1 PATIENT SAMPLE ON A COBAS INTEGRA 400 PLUS MODULE. THE INITIAL RESULT WAS 123 MMOL/L. THE CUSTOMER QUESTIONED THE LOW RESULT WHICH PROMPTED THEM TO REPEAT THE SAMPLE. THE SAMPLE WAS REPEATED ON A COBAS 6000 ANALYZER AND THE RESULT WAS 137 MMOL/L. THE REPEAT RESULT WAS DEEMED CORRECT. NO QUESTIONABLE RESULTS WERE REPORTED OUTSIDE OF THE LABORATORY.

Additional Manufacturer Narrative

THE ANALYZER SERIAL NUMBER IS (B)(6). THE CUSTOMER STATED THEY HAD ION-SELECTIVE ELECTRODE (ISE) CALIBRATION FAILURES. THE FIELD SERVICE ENGINEER (FSE) PERFORMED ELECTRODE SERVICE, REPLACED ISE TUBING, AND PERFORMED ISE PRECISION TESTING, CALIBRATION, AND QC SUCCESSFULLY. THE INVESTIGATION IS ONGOING.