inforMED
MalfunctionNIG

ELECSYS CA 19-9

Received Jan 12, 2026 · Event occurred Dec 22, 2025

Report 1823260-2026-00142 · MDR key 24038449

Device

Generic name

Test, Carbohydrate Antigen (ca19-9)

Manufacturer

Roche Diagnostics

Catalog number

11776193122

Lot number

857263

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

AN ADDITIONAL RESULT WAS PROVIDED FOR THE PATIENT FROM (B)(6) 2025, OF 121.6 U/ML. QC WAS WITHIN RANGE ON THE DATE OF THE EVENT. CALIBRATION SIGNALS WERE SLIGHTLY LOWER BUT ACCEPTABLE. THE SAMPLE WAS REQUESTED BUT IS NOT AVAILABLE FOR INVESTIGATION; THEREFORE, A THOROUGH INVESTIGATION COULD NOT BE COMPLETED. THE INVESTIGATION WAS UNABLE TO DETERMINE A DIRECT ROOT CAUSE.

Additional Manufacturer Narrative

THE COBAS E 411 ANALYZER (DISK SYSTEM) SERIAL NUMBER IS (B)(6) THE SAMPLES HAVE BEEN REQUESTED FOR INVESTIGATION. THE INVESTIGATION IS ONGOING.

Description of Event or Problem

THERE WAS AN ALLEGATION OF A QUESTIONABLE ELECSYS CA 19-9 RESULT FROM THE COBAS E 411 ANALYZER (DISK SYSTEM) FOR ONE PATIENT. THE INITIAL RESULT WAS 1000 U/ML, ACCOMPANIED BY A DATA FLAG. THE SECOND RESULT WITH A DILUTION OF 1:10 WAS 172 U/ML. THE THIRD RESULT WAS 331.4 U/ML. THE RESULT ON ANOTHER E411 WAS 1000 U/ML, ACCOMPANIED BY A DATA FLAG. A NEW SAMPLE WAS COLLECTED ON THE SAME DAY, AND THE INITIAL RESULT WAS 29.71 U/ML. THE RESULTS FROM THE OTHER E411 WERE 27.22 U/ML AND 32.65 U/ML, WHICH WERE DEEMED TO BE CORRECT. ON (B)(6) 2025, THE SAMPLE WAS SENT TO ANOTHER LAB. THE RESULT ON AN E 411 WAS 219.7 U/ML.