COBAS P (701) POST ANALYTICAL SYSTEM P 701 05349966001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-23 for COBAS P (701) POST ANALYTICAL SYSTEM P 701 05349966001 manufactured by Roche Diagnostics.

Event Text Entries

[109501446] Unique identifier (udi)#: (b)(4). This event occurred in (b)(6).
Patient Sequence No: 1, Text Type: N, H10


[109501447] The customer alleged an issue with patient sample identification on the cobas p 701 post analytical unit. The customer stated they could not retrieve the sample because the cobas p701 misread the sample barcode and truncated the last 4 digits of the sample id. When the tube was processed, the barcode (b)(6) was not completely decoded. Only the first 8 characters were decoded and the sample was stored with the sample id 10024441. The p701 was configured to accept 7 to 14 digits. There was no error message and the sample was accepted for storage since the barcode was within the configured length. There was no allegation of an adverse event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1823260-2018-01588
MDR Report Key7536588
Date Received2018-05-23
Date of Report2018-06-12
Date of Event2018-04-26
Date Mfgr Received2018-05-02
Date Added to Maude2018-05-23
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 MICHAEL LESLIE
Manufacturer Street9115 HAGUE ROAD NA
Manufacturer CityINDIANAPOLIS IN 46250
Manufacturer CountryUS
Manufacturer Postal46250
Manufacturer Phone3175214343
Manufacturer G1ROCHE INSTRUMENT CENTER AG TEGIMENTA
Manufacturer StreetFORRENSTRASSE NA
Manufacturer CityROTKREUZ 6343
Manufacturer CountrySZ
Manufacturer Postal Code6343
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report0

Device Details

Brand NameCOBAS P (701) POST ANALYTICAL SYSTEM
Generic NameAUTOMATED POST ANALYTICAL SYSTEM
Product CodeLXG
Date Received2018-05-23
Model NumberP 701
Catalog Number05349966001
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 462500457 US 462500457


Patients

Patient NumberTreatmentOutcomeDate
10 2018-05-23

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