COBAS INTEGRA 800 28122474001

MAUDE Adverse Event Report

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.

Event Text Entries

[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


MAUDE Entry Details

Report Number1823260-2010-04173
MDR Report Key1755851
Report Source*
Date Received2010-07-14
Date of Report2010-12-02
Date of Event2010-06-21
Date Mfgr Received2010-06-21
Date Added to Maude2010-12-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL TECHNOLOGIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location3
Manufacturer ContactERIC KOLODZIEJ
Manufacturer Street9115 HAGUE ROAD
Manufacturer CityINDIANAPOLIS IN 46250
Manufacturer CountryUS
Manufacturer Postal46250
Manufacturer Phone3175212834
Manufacturer G1ROCHE INSTRUMENT CENTER AG TEGIMENTA
Manufacturer StreetFORRENSTRASSE
Manufacturer CityROTKREUZ 6343
Manufacturer CountryCH
Manufacturer Postal Code6343
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOBAS INTEGRA 800
Generic NameCLINICAL CHEMISTRY ANALYZER
Product CodeJFM
Date Received2010-07-14
Catalog Number28122474001
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerROCHE DIAGNOSTICS
Manufacturer Address9115 HAGUE ROAD INDIANAPOLIS IN 46250 US 46250


Patients

Patient NumberTreatmentOutcomeDate
10 2010-07-14

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