CELL-DYN 1700
Report
- Report Number
- 2919069-1998-00001
- Event Type
- Other
- Date Received
- January 16, 1998
- Date of Event
- December 15, 1997
- Report Date
- January 16, 1998
- Manufacturer
- ABBOTT DIAGNOSTICS DIVISION/CELLDYN
- Product Code
- GKZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- OTHER
Narratives
THIS COMPLAINT IS LINKED WITH WITH ID #. A FILED SERVICE REPRESENTATIVE (FSR) WAS DISPATCHED TO THE CUSTOMER SITE. COMPLAINT EVALUATION: THE CUSTOMER COMPLAINT COULD NOT BE REPRODUCED OR CONFIRMED AS THE UNIT WAS NOT EXPECTED TO BE RETURNED. THE FSR WHO INVESTIGATED THE COMPLAINT AT THE CUSTOMER SITE CHECKED THE SYSTEM OPERATION AND FOUND THE GAINS FOR WBC, RBC, AND PLT TO BE LOW ACCORDING TO SPECIFICATIONS IN THE CD1700 SERVICE MANUAL. AFTER THE GAINS WERE ADJUSTED, THE MCV WAS FOUND TO BE OUT OF RANGE, AND THE AUTOCAL WAS RUN. CONTROLS WERE CHECKED AND THE CUSTOMER VERIFIED INSTRUMENT OPERATION. THERE WAS NO REPORT IF THE SPECIMEN IN QUESTION WAS REPEATED AFTER ADJUSTMENT OF THE GAINS. NO FURTHER CORRECTIVE ACTION IS REQUIRED. THIS IS THE FINAL REPORT.
ON 12/15/1997 THE ACCOUNT REPORTED A DISCREPANT PLATELET COUNT OF 120K/UL ON A PT WHO HAD BEEN RUNNING ABOUT 10K/UL. THE PHYSICIAN QUESTIONED THE RESULTS AND THE SAMPLE WAS RETESTED TWICE, GIVING RESULTS OF 2K/UL BOTH TIMES. NO FLAGS WERE GENERATED WITH THE FIRST DISCREPANT RESULT. AFTER CONFIRMATION OF THE LOW RESULTS, MORE PLATELET TRANSFUSIONS WERE GIVEN TO THE PT. ACCORDING TO THE ACCOUNT, ALL SLIDES ARE REVIEWED; HOWEVER, THE SLIDE FOR THIS PT WAS NOT REVIEWED PRIOR TO REPORTING THE DISCREPANT RESULT. THE ACCOUNT ALSO STATED THAT THE SAMPLE WAS MIXED PRIOR TO ASPIRATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CELL-DYN 1700 | AUTOMATED HEMATOLOGY ANALYZER | GKZ | ABBOTT DIAGNOSTICS DIVISION/CELLDYN | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NO INFO |