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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ROCHE DIAGNOSTICS ELECSYS ESTRADIOL III; RADIOIMMUNOASSY, ESTRADIOL

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ROCHE DIAGNOSTICS ELECSYS ESTRADIOL III; RADIOIMMUNOASSY, ESTRADIOL Back to Search Results
Catalog Number 07027249190
Medical Device Problem Code Low Test Results (2458)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/28/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The analyzer's serial number is (b)(6).The investigation is ongoing.
 
Event or Problem Description
There was an allegation of questionable elecsys estradiol iii results for 1 patient sample on a cobas 8000 e 801 module.The initial result was 19.4 pg/ml.The physician questioned the result, and the sample was repeated on another e 801 module.The repeated result was 19.4 pg/ml.Neither result was believed to be correct because a higher result was expected for the patient.The sample was repeated with a 1:2 dilution, and the result was "still in line with the undiluted measurements." the numerical result was not provided.The sample was repeated with a 1:10 dilution, and the result was 250 pg/ml.This result was believed to be correct.
 
Additional Manufacturer Narrative
A service visit was not required.Instrument hardware performance issues were ruled out by the customer by obtaining the same result from both analyzers due to insufficient information, the investigation could not identify a specific cause of the event.The investigation did not identify a product problem.
 
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Brand Name
ELECSYS ESTRADIOL III
Common Device Name
RADIOIMMUNOASSY, ESTRADIOL
Manufacturer (Section D)
ROCHE DIAGNOSTICS
9115 hague road
indianapolis IN 46250 0457
Manufacturer (Section G)
ROCHE DIAGNOSTICS GMBH
sandhofer strasse 116
mannheim (baden-wurttemberg) 68305
GM   68305
Manufacturer Contact
natalie catton
9115 hague road
indianapolis, IN 46250
MDR Report Key23850159
Report Number1823260-2025-05232
Device Sequence Number21225400
Product Code CHP
UDI-Device Identifier04015630939671
UDI-Public04015630939671
Combination Product (Y/N)N
Initial Reporter StateMA
Initial Reporter CountryUS
PMA/510(K) Number
K965109
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,User Facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 03/30/2026
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
Operator of Device Health Professional
Device Expiration Date08/31/2026
Device Catalogue Number07027249190
Device Lot Number88756501
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 12/01/2025
Supplement Date Received by Manufacturer03/11/2026
Initial Report FDA Received Date12/19/2025
Supplement Report FDA Received Date03/30/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
Patient SexFemale
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