COBAS 8800 SYSTEM 05412722001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-04-05 for COBAS 8800 SYSTEM 05412722001 manufactured by Roche Molecular Systems.

Event Text Entries

[104872090] The investigation into this issue is currently on-going. The outcome of this investigation will be communicated through a follow-up report. The udi for the cobas 8800 system is (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[104872091] A (b)(6) customer alleged invalid (p07p flag: volume error during supernatant removal) and discrepant hbv results for patient samples tested with the cobas? Hbv test for use on the cobas? 6800/8800 systems. The roche field service engineer visited the customer site and found a loose stop disc on the cobas 8800 system's processing transfer head, that could have caused the alleged discrepant results.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2243471-2018-00004
MDR Report Key7400749
Date Received2018-04-05
Date of Report2018-05-17
Date of Event2018-03-06
Date Mfgr Received2018-03-08
Date Added to Maude2018-04-05
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 FDA3
Event Location3
Manufacturer ContactNA STACIE-ANN CREIGHTON
Manufacturer Street1080 US HWY 202 S NA
Manufacturer CityBRANCHBURG NJ 08876
Manufacturer CountryUS
Manufacturer Postal08876
Manufacturer Phone9082537112
Manufacturer G1ROCHE INTERNATIONAL ROTKREUZ
Manufacturer StreetFORRENSTRASSE 2 NA
Manufacturer CityROTKREUZ 6343
Manufacturer CountryCH
Manufacturer Postal Code6343
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report0

Device Details

Brand NameCOBAS 8800 SYSTEM
Generic NameAUTOMATED BLOODBORNE PATHOGEN TEST EQUIPMENT
Product CodeMZA
Date Received2018-04-05
Model NumberNA
Catalog Number05412722001
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device Availability*
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerROCHE MOLECULAR SYSTEMS
Manufacturer Address1080 US HIGHWAY 202 SOUTH NA BRANCHBURG NJ 08876 US 08876


Patients

Patient NumberTreatmentOutcomeDate
10 2018-04-05

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