inforMED
MalfunctionCHI

LIPASE COLORIMETRIC ASSAY

Received Nov 20, 2025 · Event occurred Oct 31, 2025

Report 1823260-2025-04753 · MDR key 23606855

Device

Generic name

Lipase Test System

Manufacturer

Roche Diagnostics

Model number

08057982190

Catalog number

08057982190

Lot number

899254

Product problems

  • Low Test Results
  • Low 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 LIPASE COLORIMETRIC ASSAY RESULTS FOR 1 PATIENT SAMPLE ON A COBAS C 503 ANALYTICAL UNIT. THE ANALYZER WAS BEING SERVICED BY A FIELD SERVICE ENGINEER AT THE TIME WHEN THE INITIAL RESULT WAS PRODUCED WHICH PROMPTED THE CUSTOMER TO REPEAT THE SAMPLE. THE INITIAL RESULT WAS 13.5 U/L. THE SAMPLE WAS REPEATED ON ANOTHER C503 ANALYZER AND THE RESULT WAS 42.0 U/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 INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative

CALIBRATION WAS LAST PERFORMED ON 21-SEP-2025. IT WAS DETERMINED THAT THE CUSTOMER WAS RUNNING PATIENT SAMPLES ON THE ANALYZER WHILE ACTIVE SERVICE AND TROUBLESHOOTING WAS TAKING PLACE. THE ROOT CAUSE OF THE EVENT WAS FOUND TO BE CONSISTENT WITH USER ERROR. NO PRODUCT PROBLEM WAS IDENTIFIED.