FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 1570132 · Received January 5, 2010

Report

Report Number
2050012-2010-00001
Event Type
Malfunction
Date Received
January 5, 2010
Date of Event
December 18, 2009
Report Date
January 5, 2009
Manufacturer
BECKMAN COULTER INC.
Product Code
JJC
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC WAS ACCEPTABLE PRIOR TO THE EVENT. CUSTOMER CLEANED THE FLOW CELL WHICH RESOLVED THE PROBLEM. NO FURTHER INCIDENTS ON ERRONEOUSLY LOW NA RESULTS HAVE BEEN REPORTED 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 ERRONEOUSLY LOW SODIUM (NA) RESULTS GENERATED BY THE UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER. THE ORIGINAL RESULTS WERE IN THE RANGE 131-135 MMOL/L AND THE REPEAT RESULTS WERE IN THE RANGE 136-139 MMOL/L. THE ERRONEOUS RESULTS WERE REPORTED OUTSIDE OF THE LABORATORY AND AMENDED REPORTS WERE ISSUED. THE CUSTOMER HAS NOT RECEIVED ANY REPORT OF PATIENT INJURY REQUIRING MEDICAL INTERVENTION OR CHANGE TO PATIENT TREATMENT ATTRIBUTED TO OR CONNECTED WITH THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1