FDA Adverse Event Malfunction Summary report: N

DXC 700 AU CHEMISTRY ANALYZER

MDR report key: 14017823 · Received April 5, 2022

Report

Report Number
9612296-2022-00124
Event Type
Malfunction
Date Received
April 5, 2022
Date of Event
March 11, 2022
Report Date
April 5, 2022
Manufacturer
BECKMAN COULTER
Product Code
JJE
UDI-DI
14987666542545
PMA / PMN Number
K161837
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) EVALUATED THE DXC 700 AU CHEMISTRY ANALYZER, AND IDENTIFIED THE FAILURE MODE AS MULTIPLE HARDWARE. THE FSE REPLACED THE SAMPLE DISPENSE UNIT, DEIONIZED WATER DISPENSE VALVE, AND GEAR CONTROL PRINTED CIRCUIT BOARD WHICH RESOLVED THE ISSUE. INFORMATION NOT PROVIDED BY CUSTOMER. THE BECKMAN COULTER INTERNAL IDENTIFIER IS CASE-(B)(4).

Description of Event or Problem · 0

THE CUSTOMER REPORTED THE GENERATION OF INTERMITTENT ERRONEOUSLY LOW, ZERO, OR NEGATIVE RESULTS FOR MULTIPLE ANALYTES, INCLUDING, SODIUM (NA), POTASSIUM (K), CHLORIDE (CL), BICARBONATE (CO2), ALBMIN (ALB), BLOOD UREA NITROGEN (BUN), ALKALINE PHOSTATASE (ALP), ASPARTATE AMINOTRANSFERASE (AST), ALANINE AMINOTRANSFERASE (ALT), GLUCOSE (GLU), MAGNESIUM (MG), CALCIUM (CALA), TOTAL PROTEIN (TP), AND CREATININE (CRE)) ON THEIR DXC 700 AU CHEMISTRY ANALYZER. CUSTOMER REPORTED THE SAMPLES HAD G, J, K, PL, AND FH FLAGS. RESULTS WERE NOT REPORTED OUTSIDE OF THE LABORATORY. THERE WAS NO REPORT OF CHANGE TO TREATMENT, INJURY, OR DEATH ASSOCIATED WITH THIS EVENT. THE CUSTOMER DID NOT PROVIDE PATIENT DEMOGRAPHICS. THE CUSTOMER PROVIDED DATA FOR THREE (3) PATIENT SAMPLES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
841235 DXC 700 AU CHEMISTRY ANALYZER ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER DXC 700 AU-10E CHEMISTRY ANALYZER DXC 700 AU WITH ISE 14987666542545

Patients

Seq Age Sex Outcome Treatment
1 Unknown