FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM

MDR report key: 1173048 · Received September 19, 2008

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

Additional Manufacturer Narrative · 1

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.

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. 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