COBAS 6000 CORE 05036453001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,06 report with the FDA on 2011-10-04 for COBAS 6000 CORE 05036453001 manufactured by Roche Diagnostics.

Event Text Entries

[2254972] The user complained of high recovery for theophylline. He decided to send samples out to be tested on an abbott axsym analyzer and found the patient samples recovered on average 43% higher on the cobas c501 analyzer. Data was provided for four patient samples of which, the results for three were discrepant. All results are in umol/l. Patient sample 1 result from the cobas was 17 and the result form the axsym was 11. On (b)(6) 2011, patient sample 2 result from the cobas was 129 and the result form the axsym was 88. On (b)(6) 2011, patient sample 3 result from the cobas was 49 and the result form the axsym was 29. No information was provided to determine if the erroneous results were reported outside the laboratory or if any patients were adversely affected. The theophylline reagent lot number was 640209. The user stated he will continue to monitor the situation and report the result from the axsym analyzer for the time being.
Patient Sequence No: 1, Text Type: D, B5


[9434118] It was unknown if the initial reporter sent report to the fda. This event occurred in (b)(6).
Patient Sequence No: 1, Text Type: N, H10


[9651057] A reagent quality issue was previously identified and is currently under investigation. A work-around has been provided for and communicated to customers until a new lot of the reagent is available. This reagent quality issue may have contributed to this event.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1823260-2011-05199
MDR Report Key2273706
Report Source01,05,06
Date Received2011-10-04
Date of Report2012-03-02
Date of Event2011-09-08
Date Mfgr Received2011-09-13
Date Added to Maude2011-10-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location3
Manufacturer ContactNA JENNIFER WOLFGRAM
Manufacturer Street9115 HAGUE ROAD NA
Manufacturer CityINDIANAPOLIS IN 46250
Manufacturer CountryUS
Manufacturer Postal46250
Manufacturer Phone3175217008
Manufacturer G1HITACHI HIGH TECH CORP.
Manufacturer Street882 ICHIGE HITACHINAKA NA
Manufacturer CityIBARAKI 312-8504
Manufacturer Postal Code312-8504
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameCOBAS 6000 CORE
Generic NameCLINICAL CHEMISTRY ANALYZER
Product CodeKLS
Date Received2011-10-04
Model NumberNA
Catalog Number05036453001
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerROCHE DIAGNOSTICS
Manufacturer Address9115 HAGUE ROAD NA INDIANAPOLIS IN 46250 US 46250


Patients

Patient NumberTreatmentOutcomeDate
10 2011-10-04

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