inforMED
MalfunctionDHX

ELECSYS CEA ASSAY

Received Jul 13, 2018 · Event occurred Jun 4, 2018

Report 1823260-2018-02315 · MDR key 7685504

Device

Generic name

Carcinoembryonic Antigen Test System

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

04491777190

Lot number

268397

Product problems

  • High Test Results
  • High Test Results

Patient

62 YR

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THE SAMPLE WAS PROVIDED FOR INVESTIGATION. THE CUSTOMER'S RESULT COULD BE REPRODUCED ON A E 601 MODULE. A GENERAL REAGENT ISSUE CAN BE EXCLUDED AND NO PRODUCT PROBLEM WAS FOUND. THE INVESTIGATION WAS UNABLE TO FIND A DEFINITIVE ROOT CAUSE.

Additional Manufacturer Narrative

THIS EVENT OCCURRED IN (B)(6).

Description of Event or Problem

THE CUSTOMER COMPLAINED OF DISCREPANT ELECSYS CEA ASSAY RESULTS FOR 1 PATIENT ON A COBAS 8000 E 602 MODULE SERIAL NUMBER (B)(4). THE CEA RESULT WAS 9.52 NG/ML ON THE E 602 MODULE. THE CEA RESULT WAS 1.20 NG/ML ON A BECKMAN INSTRUMENT. THE CEA RESULT WAS 3.63 NG/ML ON AN ABBOTT INSTRUMENT. ON (B)(6) 2018 A NEW SAMPLE WAS COLLECTED FROM THE PATIENT AND THE CEA RESULT WAS 8.81 NG/ML. ON (B)(6) 2018 THE NEW SAMPLE WAS TESTED ON A BECKMAN UNICEL DSL 800 AND THE CEA RESULT WAS 1.48 NG/ML. ERRONEOUS RESULTS WERE REPORTED OUTSIDE OF THE LABORATORY. THERE WAS NO ALLEGATION OF AN ADVERSE EVENT.