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 2019-02-07 for ROCHE CARDIAC D-DIMER 04877802190 manufactured by Roche Diagnostics.
[135504623]
This event occurred in (b)(6).
Patient Sequence No: 1, Text Type: N, H10
[135504624]
The customer stated that they received questionable results for 5 patient samples tested with roche cardiac d-dimer and roche cardiac probnp+ on a cobas h 232 analyzer. Of the 5 samples, two had erroneous d-dimer results. The cobas h 232 analyzer is not released for distribution in the united states, nor is it like or similar to a product released for distribution in the united states. The first sample initially resulted with a d-dimer value of 2. 13 ug/ml when tested on the customer's cobas h 232 analyzer. The sample was sent to another laboratory for testing with an unknown method, resulting with a d-dimer value of 3. 65 ug/ml. The second sample initially resulted with a d-dimer value of 0. 52 ug/ml when tested on the customer's cobas h 232 analyzer. The sample was sent to another laboratory for testing with an unknown method, resulting with a d-dimer value of 0. 76 ug/ml. No adverse events were alleged to have occurred with the patients. The cobas h 232 analyzer serial number is (b)(4). Controls were tested on the analyzer and these passed.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1823260-2019-00505 |
| MDR Report Key | 8316348 |
| Report Source | FOREIGN,HEALTH PROFESSIONAL,U |
| Date Received | 2019-02-07 |
| Date of Report | 2019-08-19 |
| Date of Event | 2019-01-23 |
| Date Mfgr Received | 2019-01-23 |
| Date Added to Maude | 2019-02-07 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | NA MICHAEL LESLIE |
| Manufacturer Street | 9115 HAGUE ROAD NA |
| Manufacturer City | INDIANAPOLIS IN 46250 |
| Manufacturer Country | US |
| Manufacturer Postal | 46250 |
| Manufacturer Phone | 3175214343 |
| Manufacturer G1 | ROCHE DIAGNOSTICS GMBH |
| Manufacturer Street | SANDHOFERSTRASSE 116 NA |
| Manufacturer City | MANNHEIM (BADEN-WURTTEMBERG) 68305 |
| Manufacturer Country | GM |
| Manufacturer Postal Code | 68305 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | NA |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ROCHE CARDIAC D-DIMER |
| Generic Name | FIBRINOGEN AND FIBRIN SPLIT PRODUCTS |
| Product Code | GHH |
| Date Received | 2019-02-07 |
| Model Number | NA |
| Catalog Number | 04877802190 |
| Lot Number | ASKU |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ROCHE DIAGNOSTICS |
| Manufacturer Address | 9115 HAGUE ROAD NA INDIANAPOLIS IN 462500457 US 462500457 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-02-07 |