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MalfunctionJFP

ROCHE 9180 ELECTROLYTE ANALYZER

Received Mar 10, 2020 · Event occurred Feb 20, 2020

Report 1823260-2020-00700 · MDR key 9813123

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Product code (JFP)
Manufacturer (Roche Diagnostics International Ltd.)
Model (ISE 9180)

Device

Generic name

Electrolyte Analyzer

Manufacturer

Roche Diagnostics

Model number

ISE 9180

Catalog number

03157334001

Lot number

NA

Product problems

  • Non Reproducible Results
  • Non Reproducible Results

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

THE CUSTOMER STATED THE ELECTRODES WERE EXPIRED. THE ELECTRODES WERE REPLACED AROUND (B)(6) 2020 AND THE CUSTOMER STATES THE INSTRUMENT HAS WORKED OK. ONE LEVEL OF CONTROL FAILED AFTER THE COMPLAINED SAMPLE MEASUREMENTS. THE INVESTIGATION DETERMINED THE ISSUE IS CONSISTENT WITH THE USE OF EXPIRED ELECTRODES.

Additional Manufacturer Narrative

THIS EVENT OCCURRED IN (B)(6).

Description of Event or Problem

THE INITIAL REPORTER STATED THEY RECEIVED DISCREPANT RESULTS FOR ONE PATIENT SAMPLE TESTED FOR SODIUM, POTASSIUM, AND CALCIUM ON A ROCHE 9180 ELECTROLYTE ANALYZER. THE SAMPLE INITIALLY RESULTED WITH A SODIUM VALUE OF 109 MMOL/L ACCOMPANIED BY A DATA FLAG, WHICH REPEATED AS 118 MMOL/L ACCOMPANIED BY A DATA FLAG. THE SAMPLE INITIALLY RESULTED WITH A POTASSIUM VALUE OF 5.3 MMOL/L ACCOMPANIED BY A DATA FLAG, WHICH REPEATED AS 3.2 MMOL/L ACCOMPANIED BY A DATA FLAG. THE SAMPLE INITIALLY RESULTED WITH A CALCIUM VALUE OF 0.96 MMOL/L ACCOMPANIED BY A DATA FLAG, WHICH REPEATED AS 1.16 MMOL/L. THE SODIUM, POTASSIUM, AND CHLORIDE ELECTRODE LOT NUMBERS AND EXPIRATION DATES WERE REQUESTED, BUT NOT PROVIDED.