MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a * report with the FDA on 2010-07-14 for COBAS INTEGRA 800 28122474001 manufactured by Roche Diagnostics.
[1370298]
User received questionable total bilirubin results on two different samples obtained from the same newborn baby, on the integra 800 (i800) analyzer. The first sample was originally run on the cobas 6000 (c501) analyzer. The initial bilirubin result gave 20 mg/dl on the c501 analyzer. This result was accompanied by a data flag and was reported outside the laboratory. The doctor called the laboratory and questioned the result. The sample was repeated on this i800 analyzer giving 12. 7 mg/dl. This result was accompanied by a data flag and was reported outside the laboratory. The sample was additionally repeated on the c501 analyzer giving 16. 1 mg/dl. This result was accompanied by a data flag. A second sample was obtained from the same newborn baby and was initially tested on this i800 analyzer giving a total bilirubin result of 12. 6 mg/dl. The sample was repeated again on this analyzer giving 12. 4 mg/dl. The sample was additionally repeated on the c501 analyzer giving 15. 8 mg/dl. Both repeat results were accompanied by data flags. User was not sure which total bilirubin results were the correct results. The user said the newborn baby was treated with "bili lights" but did not believe this had an adverse affect. User had not been informed of any adverse affect to the newborn baby. Total bilirubin reagent lot was 625727. The field service representative did not determine a cause. He checked instrument function and ran quality control. Customer ran precision using the same sample material on both the i800 and c501 analyzers.
Patient Sequence No: 1, Text Type: D, B5
[8609104]
It is unknown if initial reporter sent report to fda. Cobas 6000 c501 analyzer is reported in another mdr (b)(6).
Patient Sequence No: 1, Text Type: N, H10
[22048466]
Further investigation was not possible due to missing essential information. A specific root cause could not be identified. The exact clinical information regarding the patient was not provided. The phototherapy that was performed, based on the fist elevated total bilirubin result from the cobas 6000 c501, might have been unnecessary. The phototherapy was cancelled eight hours later. The patient was discharged. No adverse events were reported.
Patient Sequence No: 1, Text Type: N, H10
[22091946]
It was reported that during a thyroidectomy procedure, the surgeon has complained about coagulation ability for this device due to hand control activation. And they replaced the hand piece and focus, but he still complained about it. Surgery was prolonged ten minutes. There were no adverse consequences for the patient.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1823260-2010-04173 |
MDR Report Key | 1755851 |
Report Source | * |
Date Received | 2010-07-14 |
Date of Report | 2010-12-02 |
Date of Event | 2010-06-21 |
Date Mfgr Received | 2010-06-21 |
Date Added to Maude | 2010-12-02 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | MEDICAL TECHNOLOGIST |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 3 |
Manufacturer Contact | ERIC KOLODZIEJ |
Manufacturer Street | 9115 HAGUE ROAD |
Manufacturer City | INDIANAPOLIS IN 46250 |
Manufacturer Country | US |
Manufacturer Postal | 46250 |
Manufacturer Phone | 3175212834 |
Manufacturer G1 | ROCHE INSTRUMENT CENTER AG TEGIMENTA |
Manufacturer Street | FORRENSTRASSE |
Manufacturer City | ROTKREUZ 6343 |
Manufacturer Country | CH |
Manufacturer Postal Code | 6343 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | COBAS INTEGRA 800 |
Generic Name | CLINICAL CHEMISTRY ANALYZER |
Product Code | JFM |
Date Received | 2010-07-14 |
Catalog Number | 28122474001 |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | ROCHE DIAGNOSTICS |
Manufacturer Address | 9115 HAGUE ROAD INDIANAPOLIS IN 46250 US 46250 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2010-07-14 |