FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM

MDR report key: 1172880 · Received September 19, 2008

Report

Report Number
2122870-2008-00299
Event Type
Malfunction
Date Received
September 19, 2008
Date of Event
September 5, 2008
Report Date
September 19, 2008
Manufacturer
BECKMAN COULTER, INC.
Product Code
MMI
PMA / PMN Number
K060256
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC IS RUN TWICE DAILY AND WAS IN RANGE BEFORE THE EVENT. NO FLAGS OR EVENT LOG MESSAGES WERE GENERATED AT THE TIME OF THE EVENT. THE SPECIMEN WAS COLLECTED IN A GREINER 13X100MM SERUM SST TUBE, AND WAS CENTRIFUGED AT 2,200 RCF FOR 10 MINUTES. PER CUSTOMER, SAMPLE APPEARED TO BE OF "GOOD QUALITY". A FIELD SERVICE ENGINEER (FSE) WAS NOT DISPATCHED AS CUSTOMER IS NOT QUESTIONING INSTRUMENT PERFORMANCE. A CLEAR ROOT CAUSE CANNOT BE DETERMINED FROM THE INFORMATION SUPPLIED. 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 TROPONIN (ACCU TNI) RESULT THAT WAS GENERATED BY THE UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM FOR A SINGLE PATIENT SAMPLE. THE INITIAL RESULT WAS 18.66NG/ML. THE RESULT WAS NOT REPORTED OUT OF THE LAB. THE ORIGINAL SAMPLE WAS RETESTED AND A RESULT OF 0.06NG/ML WAS OBTAINED. THE SAMPLE WAS RE-TESTED ONCE MORE AND A RESULT OF 0.06NG/ML WAS REPORTED OUT OF THE LAB. THERE WAS NO EFFECT TO THE PATIENT AS A RESULT OF THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 NA