FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM

MDR report key: 1334269 · Received March 5, 2009

Report

Report Number
2050012-2009-00028
Event Type
Malfunction
Date Received
March 5, 2009
Date of Event
February 12, 2009
Report Date
March 5, 2009
Manufacturer
BECKMAN COULTER INC.
Product Code
JJC
PMA / PMN Number
K060256
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC IS RUN THROUGH THE CTA (CLOSED TUBE ACCESSING) AND ONE HIGH RESULT WAS SEEN THAT CAME DOWN UPON REPEAT. FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED AND RAN DIAGNOSTIC TROUBLESHOOTING. THE PROBE, SYRINGE AND ASSOCIATED TUBING WERE REPLACED. 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

CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING A FALSELY ELEVATED TROPONIN (ACCUTNI) RESULT GENERATED BY THE UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM. A PATIENT SAMPLE WHEN TESTED GAVE AN ACCUTNI RESULT OF 1.23G/ML WHICH REPEATED AT 0.02NG/ML. IT IS UNKNOWN IF TREATMENT WAS INITIATED OR WITHHELD FOR THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1