inforMED
MalfunctionCIX

ALB2 ALBUMIN GEN.2

Received Oct 24, 2017 · Event occurred Oct 9, 2017

Report 1823260-2017-02410 · MDR key 6973170

Device

Generic name

Bromcresol Green Dye-binding, Albumin

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

03183688122

Lot number

267122

Product problems

  • High Test Results
  • High Test Results

Patient

43 YR

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

(B)(6). (B)(4).

Description of Event or Problem

THE CUSTOMER STATED THAT THEY RECEIVED ERRONEOUS RESULTS FOR ONE PATIENT SAMPLE TESTED FOR ALB2 ALBUMIN GEN.2 (ALB) ON TWO COBAS 6000 C (501) MODULE - C501 ANALYZERS. AN ERRONEOUS RESULT WAS REPORTED OUTSIDE OF THE LABORATORY TO THE PATIENT AND THE PHYSICIAN. THE SAMPLE INITIALLY RESULTED AS 37.1 G/L. THE SAMPLE WAS REPEATED ON A SECOND C501 ANALYZER, RESULTING AS 37.4 G/L. THE SAMPLE WAS REPEATED ON AN ABBOTT ARCHITECT ANALYZER, RESULTING AS 26.4 G/L. THE PHYSICIAN INDICATED THAT THE LOW RESULT OBTAINED WITH THE ARCHITECT ANALYZER WAS MORE IN LINE WITH THE MEDICAL STATE OF THE PATIENT AND THE ELECTROPHORESIS RESULTS OF THE PATIENT. NO ADVERSE EVENTS WERE ALLEGED TO HAVE OCCURRED WITH THE PATIENT. THE SERIAL NUMBERS OF THE C501 ANALYZERS WERE ASKED FOR, BUT NOT PROVIDED. A SPECIFIC ROOT CAUSE COULD NOT BE DETERMINED BASED ON THE PROVIDED INFORMATION. ADDITIONAL INFORMATION REQUIRED FOR THE INVESTIGATION WAS REQUESTED, BUT NOT PROVIDED. IT WAS ASSUMED THAT BLOOD PROTEINS RELATED TO GAMMOPATHY WERE PRESENT IN THE SAMPLE AND INTERFERED WITH THE ALB ASSAY. AS NO SAMPLE WAS AVAILABLE, FURTHER INVESTIGATIONS WERE NOT POSSIBLE.