UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM
Report
- Report Number
- 2122870-2008-00293
- Event Type
- Malfunction
- Date Received
- September 19, 2008
- Date of Event
- August 27, 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
QC WAS IN RANGE BEFORE THE EVENT. A SYSTEM CHECK PERFORMED IN 2008 PASSED. NO FLAGS OR EVENT LOG MESSAGES WERE GENERATED AT THE TIME OF THE EVENT. THE SPECIMEN WAS COLLECTED IN A GREINER 13X100MM SERUM TUBE WITH GEL SEPARATOR AND WAS CENTRIFUGED AT 3,400 RPM FOR 10 MINUTES. THE SAMPLE WAS RUN IMMEDIATELY AFTER PROCESSING. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED AND ALL HARDWARE VERIFICATION PASSED. AN APPLICATION SPECIALIST CHECKED SAMPLE INTEGRITY AND VERIFIED APPROPRIATE SAMPLE HANDLING. A CLEAR ROOT CAUSE FOR THIS EVENT HAS NOT BEEN DETERMINED TO DATE. A MALFUNCTION WILL BE ASSUMED FOR THE PURPOSE OF THIS REPORT.
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. AN ACCU TNI RESULT OF 0.65NG/ML WAS REPORTED OUT OF THE LAB. THE RESULT WAS QUESTIONED BY A PHYSICIAN. THE ORIGINAL SAMPLE WAS RETESTED AND A RESULT OF 0.011 NG/ML WAS OBTAINED. A CORRECTED REPORT WAS SENT. 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 |