FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEMS

MDR report key: 1585196 · Received January 25, 2010

Report

Report Number
2050012-2010-00016
Event Type
Malfunction
Date Received
January 25, 2010
Date of Event
January 5, 2010
Report Date
January 25, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JGS
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SPECIMENS WERE COLLECTED IN PLASTIC SST'S AND PST'S TUBES. ON (B)(4) 2010, THE ION SELECTIVE ELECTRODE (ISE) SYSTEM WAS CALIBRATED AND ALL QC RESULTS WERE WITHIN THE LAB'S ESTABLISHED RANGES. THE CUSTOMER WAS PROVIDED WITH THE TWICE-WEEKLY FLOW CELL MAINTENANCE PROCEDURE. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED: THE FSE PERFORMED A PREVENTIVE MAINTENANCE (PM) AND REPLACED SEVERAL HARDWARE COMPONENTS. A CLEAR ROOT CAUSE FOR THIS EVENT HAS NOT BEEN DETERMINED. A MALFUNCTION WILL BE ASSUMED FOR THE PURPOSE OF THIS REPORT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING LOW SODIUM (NA) RESULTS GENERATED BY THE UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEMS. THE INITIAL RESULTS IN THE RANGE OF 130-139 MMOL/L WERE REPORTED OUT OF THE LAB THE SPECIMENS WERE RE-TESTED AND AMENDED REPORTS WERE ISSUED. THE ER PHYSICIAN STATED NO PATIENTS WERE TREATED BASED ON THE LOW NA RESULTS. ALL OF THE RESULTS WERE REVIEWED BY THE LAB'S MEDICAL DIRECTOR WHO STATED IT IS NOT LIKELY THAT PATIENT TREATMENT WOULD BE AFFECTED BY THE LOW NA RESULTS.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1