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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ROCHE DIAGNOSTICS ELECSYS CA 19-9; CARBOHYDRATE ANTIGEN (CA19-9) TEST SYSTEM

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ROCHE DIAGNOSTICS ELECSYS CA 19-9; CARBOHYDRATE ANTIGEN (CA19-9) TEST SYSTEM Back to Search Results
Catalog Number 07027028190
Medical Device Problem Codes False Positive Result (1227); 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 02/11/2026
Type of Reportable Event Malfunction
Event or Problem Description
There was an allegation of a questionable elecsys ca 19-9 result from the cobas 8000 core unit for one patient.The initial result was 52.7 u/ml, and the repeat result was <2 u/ml.The questionable result was not released outside of the laboratory, as the customer noticed that the initial result did not match the patient's clinical diagnosis and repeated the sample.
 
Additional Manufacturer Narrative
The cobas 8000 core unit serial number is (b)(6).The investigation is ongoing.
 
Additional Manufacturer Narrative
Medwatch field h6 investigation findings, investigation conclusion, and component code were updated.It was also provided that the customer believes that the repeated result is correct because the patient's other tumor marker results are normal.The investigation determined that a general reagent or analyzer problem was not present because the qc prior to the event was within ranges.In the alarm trace, 2 sample foam alarms were detected, and one abnormal aspiration alarm on the day of the event.The investigation did not identify a product problem.The cause of the event could not be determined.
 
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Brand Name
ELECSYS CA 19-9
Common Device Name
CARBOHYDRATE ANTIGEN (CA19-9) 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 Key24520823
Report Number1823260-2026-00784
Device Sequence Number9655763
Product Code NIG
UDI-Device Identifier04015630939640
UDI-Public04015630939640
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K050231
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,Followup
Report Date (Section B) 04/06/2026
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 Number07027028190
Device Lot Number84908301
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 02/11/2026
Supplement Date Received by Manufacturer03/12/2026
Initial Report FDA Received Date03/05/2026
Supplement Report FDA Received Date04/06/2026
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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