inforMED
MalfunctionDHX

COBAS E-ELECSYS CEA

Received Jan 22, 2015 · Event occurred Jan 5, 2015

Report 1823260-2015-00504 · MDR key 4440270

Device

Generic name

System, Test, Carcinoembryonic Antigen

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

04491777160

Lot number

180801

Product problems

  • High Test Results

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

SAMPLE FROM THE PATIENT WAS SENT FOR INVESTIGATION AND THE CUSTOMER'S RESULT COULD BE CONFIRMED. ANALYSIS OF DILUTION LINEARITY OF THE SAMPLE COMBINED WITH INVESTIGATION OF INTERFERENCE TESTING DID NOT SHOW EVIDENCE FOR AN ERRONEOUS RESULT IN THE ELECSYS ASSAY. THE CUSTOMER'S CEA RESULT WAS CONSIDERED TO BE THE CORRECT. THE REAGENT PERFORMED WITHIN SPECIFICATION.

Description of Event or Problem

THE CUSTOMER RECEIVED A QUESTIONABLE CARCINOEMBRYONIC ANTIGEN (CEA) RESULT FOR ONE PATIENT SAMPLE. THE INITIAL RESULT FROM COBAS 6000 E601 ANALYZER SERIAL NUMBER 26C6-25 AT THE CUSTOMER SITE WAS > 1000 NG/ML AND WITH A 1:10 DILUTION WAS 3648 NG/ML. THE SAMPLE WAS SUBMITTED FOR FURTHER INVESTIGATION AND THE RESULT FROM A COBAS E411 ANALYZER WAS >1000 NG/ML AND WITH A 1:10 DILUTION WAS 4475 NG/ML. THE SAMPLE WAS ALSO TESTED ON A LUMIPULSE ANALYZER AND THE RESULT WAS 6680 NG/ML. INFORMATION CONCERNING WHICH RESULT WAS REPORTED OUTSIDE THE LAB AND IF THE PATIENT WAS ADVERSELY AFFECTED WAS REQUESTED BUT WAS NOT PROVIDED.

Additional Manufacturer Narrative

THIS EVENT OCCURRED IN (B)(6).