ELECSYS CK-MB IMMUNOASSAY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2018-12-19 for ELECSYS CK-MB IMMUNOASSAY manufactured by Roche Diagnostics.

Event Text Entries

[131145915] (b)(6).
Patient Sequence No: 1, Text Type: N, H10


[131145916] The customer consistently received questionable high troponin t hs, creatine kinase (ck), and elecsys ck-mb immunoassay results for one patient from the cobas 8000 cobas e 602 module serial number (b)(4). This medwatch is for ck-mb. Refer to the medwatchs with patient identifiers (b)(6) and (b)(6) for the other assays. The doctor believed the result were an "implausible constellation of cardiac markers in case of a showing no cardiac symptoms". There was no evidence of an acute myocardial infarct. There was no allegation of an adverse event. The customer suspected a non-cardiac isoform of troponin t was present.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1823260-2018-05004
MDR Report Key8178956
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2018-12-19
Date of Report2019-02-15
Date of Event2018-12-06
Date Mfgr Received2018-12-07
Date Added to Maude2018-12-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 DIAGNOSTICS GMBH
Manufacturer StreetSANDHOFERSTRASSE 116 NA
Manufacturer CityMANNHEIM (BADEN-WURTTEMBERG) 68305
Manufacturer CountryGM
Manufacturer Postal Code68305
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameELECSYS CK-MB IMMUNOASSAY
Generic NameCOLORIMETRIC METHOD, CPK OR ISOENZYMES
Product CodeJHY
Date Received2018-12-19
Model NumberNA
Catalog NumberASKU
Lot NumberASKU
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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 2018-12-19

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