inforMED
MalfunctionJIF

AMMONIA

Received Jun 22, 2026 · Event occurred May 29, 2026

Report 1823260-2026-02467 · MDR key 25584829

Device

Generic name

Enzymatic Method, Ammonia

Manufacturer

Roche Diagnostics

Catalog number

20766682322

Lot number

925432

Product problems

  • Incorrect Measurement

Patient

NA · Female

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE AMMONIA RESULTS FOR 1 PATIENT SAMPLE ON A COBAS 8000 COBAS C 502 MODULE. THE INITIAL RESULT WAS 1.9 MMOL/L, AND THE REPEATED RESULT WAS 38.3 MMOL/L. THE SAMPLE WAS REPEATED BECAUSE THE INITIAL RESULT WAS NOT CONSISTENT WITH THE PATIENT'S CLINICAL HISTORY.

Additional Manufacturer Narrative

THE ANALYZER'S SERIAL NUMBER IS (B)(6). THE INVESTIGATION IS ONGOING.