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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ROCHE DIAGNOSTICS ELECSYS FERRITIN; FERRITIN IMMUNOLOGICAL TEST SYSTEM

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ROCHE DIAGNOSTICS ELECSYS FERRITIN; FERRITIN IMMUNOLOGICAL TEST SYSTEM Back to Search Results
Catalog Number 07027273190
Medical Device Problem Codes High Test Results (2457); Low Test Results (2458); Non Reproducible Results (4029)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/08/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The cobas e 801 analytical unit serial number was (b)(6).The qc results were within range before the sample measurements.Therefore, a general reagent or analyzer problem was not present.There were many sample quality-related alarms, such as "sample foam detection" each day, which may correspond with the erroneous results.However, based on the provided data and lack of preanalytic information, this could not be confirmed.Based on the information provided, the investigation was unable to determine a specific root cause.There was no product problem identified.
 
Event or Problem Description
There was an allegation of questionable elecsys ferritin results from the cobas e 801 analytical unit.Refer to the attachment to the medwatch for all patient data.
 
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Brand Name
ELECSYS FERRITIN
Common Device Name
FERRITIN IMMUNOLOGICAL TEST SYSTEM
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 Key24324882
Report Number1823260-2026-00507
Device Sequence Number9542052
Product Code JMG
UDI-Device Identifier04015630939688
UDI-Public04015630939688
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
K971833
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 02/12/2026
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 Catalogue Number07027273190
Device Lot Number90043101
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 01/28/2026
Initial Report FDA Received Date02/12/2026
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 SexUnknown
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