The investigation could not identify a product problem.A general reagent issue can be excluded.Assays from different vendors can generate different values.This relates to the overall setups of the assays, the antibodies used, differences in reference materials/methods, and differences in the standardization methodology used.
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The initial reporter stated they received discrepant results for one patient sample tested with the elecsys ft4 iii assay on two cobas 8000 e 801 modules.The result measured at the customer site was reported outside of the laboratory to a physician.The sample initially resulted in a ft4 value of 1.82 ng/dl (reference range = 0.90 - 1.70 ng/dl) when tested on the customer's e 801 analyzer.The sample was repeated on an abbott architect analyzer, resulting in a value of 1.31 ng/dl (reference range = 0.7 - 1.48 ng/dl).The sample was also provided for investigation, where it was tested on a second e 801 analyzer on (b)(6) 2021, resulting in a value of 1.76 ng/dl.The serial number of the customer's e 801 analyzer was (b)(4).Ft4 reagent lot 520701, with an expiration date of 31-jan-2022 was used on this analyzer.The serial number of the e 801 analyzer used for investigation was (b)(4).Ft4 reagent lot 520701, with an expiration date of 31-jan-2022 was used on this analyzer.
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