The initial reporter received questionable elecsys ft4 iii assay, elecsys tsh assay, and elecsys ft3 iii results from the cobas e 801 module.This mdr will cover the elecsys ft4 iii reagent.Refer to the mdr with patient identifier = (b)(6) for the elecsys ft3 iii assay reagent and the mdr with patient identifier = (b)(6) for the elecsys tsh assay reagent.See attachment (b)(6) for results.It was noted that additional tsh dilution test results were: x2 diluted: 1.810 uiu/ml, x5 diluted: 2.000 uiu/ml, x10 diluted: 2.110 uiu/ml.The questionable results were reported outside the laboratory.
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A sample was provided for investigation the observed differences in ft4 values generated with the roche assay and the different type of analyzers are caused by differences in the overall setups of the assays, the antibodies used, differences in reference materials, and the differences in the standardization methodology used.The investigation did not identify a product problem.
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