inforMED
MalfunctionCDX

ELECSYS T4 ASSAY

Received Oct 30, 2018 · Event occurred Oct 9, 2018

Report 1823260-2018-03894 · MDR key 8018332

Device

Generic name

Radioimmunoassay, Total Thyroxine

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

07027885190

Lot number

287093

Product problems

  • Non Reproducible Results
  • Non Reproducible Results

Patient

15 YR

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

Narrative

Additional Manufacturer Narrative

THIS EVENT OCCURRED IN (B)(6).

Description of Event or Problem

THE CUSTOMER STATED THAT THEY RECEIVED ERRONEOUS RESULTS FOR ONE PATIENT SAMPLE TESTED WITH THE ELECSYS T4 ASSAY ON A COBAS 8000 E 801 MODULE. THE ERRONEOUS RESULTS WERE NOT REPORTED OUTSIDE OF THE LABORATORY. THE SAMPLE WAS TESTED THREE TIMES ON THE CUSTOMER'S E 801 ANALYZER, RESULTING WITH T4 VALUES OF 24.4 UG/DL, 24.9 UG/DL ACCOMPANIED BY A DATA FLAG, AND 21.6 UG/DL. THE SAMPLE WAS TESTED AT ANOTHER LABORATORY ON A COBAS 6000 E 601 MODULE, RESULTING WITH A T4 VALUE OF 12.21 UG/DL. NO ADVERSE EVENTS WERE ALLEGED TO HAVE OCCURRED WITH THE PATIENT. THE SERIAL NUMBER OF THE CUSTOMER'S E 801 ANALYZER IS (B)(4). THE SERIAL NUMBER OF THE E 601 ANALYZER USED AT THE OTHER LABORATORY WAS ASKED FOR, BUT NOT PROVIDED.

Additional Manufacturer Narrative

A SAMPLE WAS PROVIDED FOR INVESTIGATION. AN INTERFERING FACTOR AGAINST A COMPONENT OF THE REAGENT WAS IDENTIFIED. THIS INTERFERENCE IS ADDRESSED IN THE PACKAGE INSERT.