FDA Adverse Event Other Summary report: N

UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM

MDR report key: 1065950 · Received June 25, 2008

Report

Report Number
2122870-2008-00201
Event Type
Other
Date Received
June 25, 2008
Date of Event
June 3, 2008
Report Date
June 25, 2008
Manufacturer
BECKMAN COULTER, INC.
Product Code
MMI
PMA / PMN Number
K060256
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLE WAS DRAWN IN PLASTIC GREINER VACUTAINER TUBE AND CENTRIFUGED AT 2200 G FOR 15 MINS. FIELD SERVICE ENGINEER (FSE) WAS ONSITE IN 2008: FSE FOUND AN INCUBATOR BELT JAM AND MULTIPLE BROKEN RV CLIPS. FSE REPLACED CLIPS AND INCUBATOR BELT. FSE REPLACED THE ASPIRATE PROBES AND RAN SYSTEM CHECK WHICH WAS WITHIN SPECS. A CLEAR ROOT CAUSE FOR THIS EVENT HAS NOT BEEN DETERMINED TO DATE. A MALFUNCTION WILL BE ASSUMED FOR THE PURPOSE OF THIS REPORT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING AN ERRONEOUSLY ELEVATED ACCU TNI RESULT GENERATED BY THE UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM FOR ONE PT. CUSTOMER TESTED A SAMPLE FOR ACCU TNI AND OBTAINED A RESULT OF 6.50 NG/ML. THE SAMPLE WAS RE-SPUN AND RE-TESTED AND GAVE A RESULT OF 0.02 NG/ML. THE ERRONEOUS RESULT WAS REPORTED OUTSIDE THE LABORATORY. CUSTOMER MADE NO REPORT OF PT INJURY REQUIRING MEDICAL INTERVENTION ATTRIBUTED OR CONNECTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER MMI BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 NA