inforMED
MalfunctionDHX

ELECSYS CEA

Received Jan 12, 2026 · Event occurred Dec 18, 2025

Report 1823260-2026-00132 · MDR key 24035754

Device

Generic name

Carcinoembryonic Antigen Test System

Manufacturer

Roche Diagnostics

Catalog number

07027079190

Lot number

85067002

Product problems

  • High Test Results
  • Non Reproducible Results

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE QC WAS ACCEPTABLE. A GENERAL REAGENT ISSUE WAS EXCLUDED. THE ALARM TRACE SHOWED "SAMPLE FOAM DETECTION" AND "SAMPLE CLOT DETECTION" ALARMS. THE FIELD SERVICE REPRESENTATIVE FOUND SOME CRYSTALLIZATION ON THE OUTER WALL OF THE PRE-WASHED PROBE. HE FIXED THE ISSUE. THE INVESTIGATION DETERMINED THE ISSUE WAS DUE TO IMPROPER CUSTOMER MAINTENANCE.

Additional Manufacturer Narrative

E1 INITIAL REPORTER ESTABLISHMENT NAME: (B)(6). THE ANALYZER'S SERIAL NUMBER IS (B)(6). THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF A QUESTIONABLE ELECSYS CEA RESULT FOR 1 PATIENT SAMPLE ON A COBAS E 801 ANALYTICAL UNIT. THE INITIAL RESULT WAS 10.8 NG/L, AND THE REPEATED RESULTS WERE 2.85 NG/ML AND 2.90 NG/L. THE REPEATED RESULT OF 2.90 NG/L WAS BELIEVED TO BE CORRECT. THE SAMPLE WAS REPEATED BECAUSE THE INITIAL RESULT DIDN'T MATCH THE PATIENT'S CLINICAL DIAGNOSIS. THE PATIENT'S CLINICAL DIAGNOSIS WAS NOT PROVIDED.