inforMED
MalfunctionNIG

ELECSYS CA 19-9

Received Dec 22, 2025 · Event occurred Dec 3, 2025

Report 1823260-2025-05280 · MDR key 23865979

Device

Generic name

Carbohydrate Antigen (ca19-9) Test System

Manufacturer

Roche Diagnostics

Catalog number

07027028190

Lot number

849083

Product problems

  • High Test Results
  • Non Reproducible Results
  • High Test Results
  • Non Reproducible Results

Patient

74 YR · Male

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

Narrative

Additional Manufacturer Narrative

THE CALIBRATION WAS ACCEPTABLE. A GENERAL PRODUCT PROBLEM WAS EXCLUDED. A SAMPLE CLOT ALARM WAS DETECTED TWICE. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS CA 19-9 RESULTS FOR 1 PATIENT SAMPLE ON A COBAS 8000 E 801 MODULE. THE INITIAL RESULT IS 69.1 U/ML. THE REPEATED RESULT IS 3.99 U/ML (REPORTED AS 4.0 U/ML). THIS RESULT WAS CONSISTENT WITH THE PATIENT'S CLINICAL HISTORY.

Additional Manufacturer Narrative

THE ANALYZER'S SERIAL NUMBER IS (B)(6). TWO OF THE QC LEVELS (1 AND 3) WERE ACCEPTABLE, BUT ONE OF THE LEVELS (LEVEL 2) WAS NOT TESTED. THE INVESTIGATION IS ONGOING.