inforMED
MalfunctionDHX

ELECSYS CEA

Received Jan 15, 2026 · Event occurred Dec 18, 2025

Report 1823260-2026-00184 · MDR key 24082479

Device

Generic name

Carcinoembryonic Antigen Test System

Manufacturer

Roche Diagnostics

Catalog number

07027079190

Lot number

850670

Product problems

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

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THE INITIAL REPORTER RECEIVED A QUESTIONABLE ELECSYS CEA ASSAY RESULT FROM ONE PATIENT SAMPLE TESTED ON THE COBAS E 801 ANALYTICAL UNIT. THE INITIAL RESULT WAS 6.86 NG/ML. THE REPEAT RESULT WAS 1.25 NG/ML. THE INITIAL RESULT WAS NOT REPORTED OUTSIDE THE LABORATORY, AS IT DID NOT MATCH THE PATIENT'S CLINICAL DIAGNOSIS.

Additional Manufacturer Narrative

THE SERIAL NUMBER OF THE CUSTOMER'S COBAS E 801 ANALYTICAL UNIT IS (B)(6). THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative

THE INVESTIGATION INCLUDED A REVIEW OF THE DATA SET PROVIDED BY THE CUSTOMER: THE ASSAY WAS LAST CALIBRATED ON (B)(6) 2025, AND THE RESULTS WERE WITHIN THE SPECIFIED RANGES. PRODUCT LABELING STATES: "RENEWED CALIBRATION IS RECOMMENDED AS FOLLOWS: AFTER 12 WEEKS WHEN USING THE SAME REAGENT LOT. AFTER 28 DAYS WHEN USING THE SAME COBAS E PACK ON THE ANALYZER. AS REQUIRED: E.G. QUALITY CONTROL FINDINGS OUTSIDE THE DEFINED LIMITS." THE QC RESULTS WERE WITHIN THE SPECIFIED RANGES. THERE WAS NO INDICATION OF A PERFORMANCE ISSUE WITH THE REAGENT. THE ALARM TRACE DID NOT INDICATE ANY ISSUES. A GENERAL REAGENT PROBLEM WAS NOT DETECTED BECAUSE THE QCS BEFORE THE EVENT WERE WITHIN THE SPECIFIED RANGES. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.