inforMED
MalfunctionDHX

ELECSYS CEA ASSAY

Received Nov 26, 2018 · Event occurred Oct 31, 2018

Report 1823260-2018-04480 · MDR key 8103492

Device

Generic name

System, Test, Carcinoembryonic Antigen

Manufacturer

Roche Diagnostics

Model number

NA

Catalog number

11731629322

Lot number

355404

Product problems

  • Low Test Results
  • Low Test Results

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

THE INVESTIGATION DID NOT IDENTIFY A PRODUCT PROBLEM.  THE CAUSE OF THE EVENT COULD NOT BE DETERMINED.

Additional Manufacturer Narrative

THIS EVENT OCCURRED IN (B)(6).

Description of Event or Problem

THE CUSTOMER RECEIVED A QUESTIONABLE LOW ELECSYS CEA ASSAY RESULTS FOR ONE PATIENT SAMPLE FROM TWO COBAS 6000 E 601 MODULES. THE SERIAL NUMBERS WERE (B)(4). IT WAS UNCLEAR WHICH ANALYZER GENERATED WHICH SPECIFIC RESULT. THE INITIAL RESULT WAS LESS THAN 1.0 UG/L AND WAS REPORTED OUTSIDE OF THE LABORATORY. THE PHYSICIAN DID NOT BELIEVE THE RESULT AND THE SAMPLE WAS REPEATED. THE REPEAT RESULTS WERE 0.267 UG/L, 17.69 UG/L, AND 17.77 UG/L. THERE WAS NO ALLEGATION OF AN ADVERSE EVENT. THE FIELD SERVICE REPRESENTATIVE CHECKED THE INSTRUMENTS AND PERFORMED A SYSTEM VOLUME CHECK. ON COBAS E601 SERIAL NUMBER (B)(4), HE FOUND THE BRANCH BLOCK HAD A SLIGHT LEAK AND HE REPLACED THE BRANCH BLOCK AND PINCH TUBE. HE PERFORMED A SIPPER PURGE.