FDA Adverse Event Malfunction Summary report: N

AU5800 CLINICAL CHEMISTRY ANALYZER

MDR report key: 15543290 · Received October 5, 2022

Report

Report Number
9612296-2022-00313
Event Type
Malfunction
Date Received
October 5, 2022
Date of Event
September 12, 2022
Report Date
October 5, 2022
Manufacturer
BECKMAN COULTER
Product Code
JJE
UDI-DI
14987666543016
PMA / PMN Number
K112412
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

FULL PATIENT IDENTIFIER IS (B)(6). A BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) EVALUATED THE AU5800 CLINICAL CHEMISTRY ANALYZER. FSE CONFIRMED CUSTOMER¿S ISSUE. FSE OBSERVED 3641 PHOTOMETRY ERROR DURING CUVETTE WASH, FOUND BROKEN CUVETTE GLASS IN THE WHEEL AND OUTER CUVETTES FAILING PHOTOCAL. FSE CLEANED ALL CUVETTES, INSPECTED WASH NOZZLE, INSPECTED AND CLEANED THE CUVETTE WHEEL. FSE REPLACED PCBA PULSE MOTOR CONTROL, 271BPMC1A BELLOWS AND DIA LID PIN WHICH RESOLVED THE ISSUE. FSE RAN PHOTOCAL AND QUALITY CONTROL WITH NO ISSUE. FSE VERIFIED SERVICE TASK. IN CONCLUSION, THE CAUSE OF THE EVENT IS A HARDWARE MALFUNCTION.

Description of Event or Problem · 0

CUSTOMER REPORTED ERRONEOUS LOW AND FLAGGED PATIENT RESULTS FOR ALT(ALANINE AMINOTRANSFERASE), BUN (BLOOD UREA NITROGEN), CO2 (CARBON DIOXIDE) AND TBIL (TOTAL BILIRUBIN) AND GETTING PHOTOMETRY ERRORS DURING CUVETTE WASH ON THE CUSTOMER'S AU5800 (AU5800-10 CHEMISTRY ANALYZER, PART NUMBER B96697 AND SERIAL NUMBER (B)(4). THE ERRONEOUS PATIENT RESULTS WERE NOT REPORTED OUT OF LABORATORY. THERE WAS NO REPORT OF CHANGE TO PATIENT TREATMENT OR MANAGEMENT IN CONNECTION WITH THE EVENT. A BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO ASSESS SYSTEM PERFORMANCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1418554 AU5800 CLINICAL CHEMISTRY ANALYZER ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER AU5800-10 CHEMISTRY ANALYZER AU5800 14987666543016

Patients

Seq Age Sex Outcome Treatment
1 Unknown