inforMED
MalfunctionCFT

ELECSYS PROLACTIN ASSAY

Received Jul 17, 2026 · Event occurred Jun 13, 2026

Report 1823260-2026-02914 · MDR key 25857171

Device

Generic name

Radioimmunoassay, Prolactin (lactogen)

Manufacturer

Roche Diagnostics

Catalog number

03203093190

Lot number

ASKU

Product problems

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

Patient

Not reported

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS PROLACTIN ASSAY RESULTS FROM THE COBAS E411 RACK ANALYZER.THE CUSTOMER PREVIOUSLY USED THE UNIT OF MEASURE NG/ML. THE TEST UNIT WAS CHANGED TO IU/ML AT THE REQUEST OF SPECIALIST DOCTORS.A PATIENT SAMPLE HAD A RESULT OF 419.30 IU/ML, WHICH, ACCORDING TO THIS UNIT'S EXPECTED REFERENCE RANGES (102-496) WAS CONSIDERED NORMAL. THIS RESULT CONVERTS TO 19.7071 NG/ML.WHEN THE SAME SAMPLE WAS ANALYZED USING THE NG/ML TEST UNIT, IT RESULTED IN 46.02 NG/ML, WHICH, ACCORDING TO THIS UNIT, WAS OUTSIDE THE NORMAL RANGE (4.79-23.3).ON (b)(6) 2026, THE RESULT FROM ANOTHER LABORATORY WAS 10.12 UG/L.ON (b)(6) 2026, THE SAME SAMPLE WAS REPEATED, AND THE RESULT WAS 16.06 NG/ML.

Additional Manufacturer Narrative

THE COBAS E411 RACK ANALYZER SERIAL NUMBER WAS 8985-16.QUALITY CONTROL AND CALIBRATION WERE PERFORMED AFTER THE UNIT CHANGE.THE INVESTIGATION IS ONGOING.