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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ROCHE DIAGNOSTICS ELECSYS TROPONIN T HS STAT; IMMUNOASSAY METHOD, TROPONIN SUBUNIT

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ROCHE DIAGNOSTICS ELECSYS TROPONIN T HS STAT; IMMUNOASSAY METHOD, TROPONIN SUBUNIT Back to Search Results
Catalog Number 09315349190
Device Problems Low Test Results (2458); Non Reproducible Results (4029)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/14/2023
Event Type  malfunction  
Manufacturer Narrative
The serial number of the cobas 6000 e 601 module is 2534-02.The field service engineer performed liquid flow cleaning (lfc).After this, the quality controls were acceptable.The investigation is ongoing.
 
Event Description
The initial reporter stated they received discrepant results for one patient sample tested with the elecsys troponin t hs assay on a cobas 6000 e 601 module.The sample initially resulted in a troponin t hs value of < 5 ng/l, accompanied by a data flag and repeated as 17 ng/l.
 
Manufacturer Narrative
The customer reported that the issue re-occurred.Precipitates at the sipper were found and an abnormal sipper movement alarm was observed.After performing three times, liquid flow cleaning the issue has been resolved.The investigation could not identify a product problem.The cause of the event could not be determined.
 
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Brand Name
ELECSYS TROPONIN T HS STAT
Type of Device
IMMUNOASSAY METHOD, TROPONIN SUBUNIT
Manufacturer (Section D)
ROCHE DIAGNOSTICS
9115 hague road
indianapolis IN 46250 0457
Manufacturer (Section G)
ROCHE DIAGNOSTICS GMBH
sandhoferstrasse 116
na
mannheim (baden-wurttemberg) 68305
GM   68305
Manufacturer Contact
amy nelson
9115 hague road
na
indianapolis, IN 46250
3174767531
MDR Report Key17396484
MDR Text Key319866814
Report Number1823260-2023-02491
Device Sequence Number1
Product Code MMI
Combination Product (y/n)N
Reporter Country CodeNO
PMA/PMN Number
K201441
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 08/29/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number09315349190
Device Lot NumberASKU
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 07/14/2023
Initial Date FDA Received07/26/2023
Supplement Dates Manufacturer Received08/08/2023
Supplement Dates FDA Received08/29/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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