inforMED
MalfunctionDHA

ELECSYS HCG+BETA

Received Jul 20, 2026 · Event occurred Jun 20, 2026

Report 1823260-2026-02931 · MDR key 25878418

Device

Generic name

System, Test, Human Chorionic Gonadotropin

Manufacturer

Roche Diagnostics

Catalog number

03271749190

Lot number

868696

Product problems

  • Low Test Results
  • Non Reproducible Results

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THERE WAS AN ALLEGATION OF QUESTIONABLE ELECSYS HCG+BETA RESULTS FOR 1 PATIENT ON A COBAS E 411 ANALYZER (DISK SYSTEM).ON (b)(6) 2026, THE INITIAL RESULT WAS 77.30 MIU/ML WITH FLAG.ON (b)(6) 2026, A NEW SAMPLE WAS COLLECTED FROM THE PATIENT AND THE RESULT WAS 10000 MIU/ML WITH FLAG.THE NEW SAMPLE WAS DILUTED AND REPEATED TWICE AND THE RESULTS WERE 16.53 MIU/ML WITH FLAG AND 26447 MIU/ML WITH FLAG.THE SAMPLE WAS REPEATED WITHOUT DILUTION AND THE RESULT WAS >10000 MIU/ML WITH FLAG.THE SAMPLE WAS DILUTED AGAIN AND THE RESULT WAS 26962 MIU/ML WITH FLAG.THE INITIAL SAMPLE FROM (b)(6)2026 WAS REPEATED AND THE RESULT WAS >10000 MIU/ML WITH FLAG.THE INITIAL SAMPLE WAS DILUTED AND REPEATED AND THE RESULT WAS 32865 MIU/ML WITH FLAG.

Additional Manufacturer Narrative

THE ANALYZER SERIAL NUMBER IS (b)(6).THE QC RECOVERY DATA PROVIDED WAS WITHIN SPECIFICATION.THE FIELD SERVICE ENGINEER (FSE) INSPECTED THE ANALYZER AND REPLACED TUBING.THE INVESTIGATION IS ONGOING.