inforMED
MalfunctionCDD

ELECSYS VITAMIN B12 II

Received Oct 28, 2025 · Event occurred Sep 30, 2025

Report 1823260-2025-04385 · MDR key 23406385

Device

Generic name

Radioassay, Vitamin B12

Manufacturer

Roche Diagnostics

Catalog number

07212771190

Lot number

839242

Product problems

  • High Test Results
  • High Test Results

Patient

NA · Unknown

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

Narrative

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS VITAMIN B12 II RESULTS FROM THE COBAS 6000 E601 MODULE AND COBAS E 411 ANALYZER FOR ONE PATIENT. THE INITIAL RESULT FROM THE MODULE OF THE INITIAL PATIENT SAMPLE WAS 979.9 PG/ML. THE PATIENT WENT TO TWO OTHER LABORATORIES AND OBTAINED THE FOLLOWING RESULTS: THE RESULT FROM THE FIRST LABORATORY THAT USED A MINDRAY ANALYZER WAS 447 PG/ML. THE RESULT FROM THE SECOND LABORATORY USING AN UNKNOWN ANALYZER WAS 499 PMOL/L OR ~678 PG/ML. THE PATIENT QUESTIONED THE INITIAL RESULT. ON (B)(6) 2025, THE REPEAT RESULT OF THE INITIAL PATIENT SAMPLE FROM THE COBAS E411 WAS 872.4 PG/ML.

Additional Manufacturer Narrative

THE COBAS 6000 E601 MODULE SERIAL NUMBER IS (B)(6). THE COBAS E 411 ANALYZER SERIAL NUMBER WAS NOT PROVIDED. THE QC RESULTS PROVIDED WERE WITHIN RANGE. THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative

THE QC WAS PASSING PRIOR TO THE EVENT, INDICATING THAT THERE IS NOT A GENERAL OR LOCAL REAGENT ISSUE. THE INVESTIGATION WAS UNABLE TO DETERMINE A DIRECT ROOT CAUSE, AS THE SAMPLE WAS NOT AVAILABLE FOR INVESTIGATION.