The initial reporter stated they received discrepant results for one patient sample tested with the elecsys ft4 iii assay on two cobas 8000 e 602 modules.The results measured at the customer site were reported outside of the laboratory to the physician.Refer to the attachment for all patient data.The sample was collected and tested on the customer's e 602 analyzer on (b)(6) 2022.The sample was provided for investigation where it was tested on a second e 602 analyzer on (b)(6) 2022.The sample was also repeated on an abbott architect analyzer.The serial number of the customer's e 602 analyzer is 1219-09.The ft4 reagent lot number and expiration date used on this analyzer were requested, but not provided.The serial number of the e 602 analyzer used for investigation is 1286-07.Ft4 reagent lot number 547168, with an expiration date of 31-may-2022 was used on this analyzer.
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The investigation could not identify a product problem.From the information provided, 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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