COBAS 8800 SYSTEM 5412722001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-26 for COBAS 8800 SYSTEM 5412722001 manufactured by Roche Molecular Systems, Inc..

Event Text Entries

[139996022] For the customer's instrument (serial id (b)(4)), the stop discs and o-rings at the failing positions were replaced on processing module b. The material has been requested back for further investigation with the supplier. The droplets observed around the heating stations were cleaned by the local field service engineer. The issue has been solved with these service actions and the instrument is running without issues with passing tightness check results and with no evidence of leakage. Corrective and preventive actions will be implemented as appropriate. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[139996023] A (b)(4) field service engineer (fse) performed a tightness check on a customer's cobas 8800 system (serial id (b)(4)), which failed for processing module b. The fse replaced the stop discs and o-rings at the failing positions, then re-performed the tightness check, which passed. Additionally, images on the processing module decks were provided and showed evidence of leakage/droplets on the front heating station. No harm or injury was alleged within the case.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2243471-2019-00014
MDR Report Key8451593
Date Received2019-03-26
Date of Report2019-03-26
Date of Event2018-12-17
Date Mfgr Received2019-03-18
Date Added to Maude2019-03-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 Sequence Number: 0

Brand NameCOBAS 8800 SYSTEM
Generic NameAUTOMATED BLOODBORNE PATHOGEN TEST EQUIPMENT
Product CodeMZA
Date Received2019-03-26
Model NumberNA
Catalog Number5412722001
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrR
Device Sequence No0
Device Event Key0
ManufacturerROCHE MOLECULAR SYSTEMS, INC.
Manufacturer Address1080 US HIGHWAY 202 SOUTH NA BRANCHBURG NJ 08876 US 08876

Device Sequence Number: 1

Brand NameCOBAS 8800 SYSTEM
Generic NameAUTOMATED BLOODBORNE PATHOGEN TEST EQUIPMENT
Product CodeMZA
Date Received2019-03-26
Model NumberNA
Catalog Number5412722001
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerROCHE MOLECULAR SYSTEMS, INC.
Manufacturer Address1080 US HIGHWAY 202 SOUTH NA BRANCHBURG NJ 08876 US 08876


Patients

Patient NumberTreatmentOutcomeDate
10 2019-03-26

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