FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CLINICAL SYSTEMS

MDR report key: 1593902 · Received February 3, 2010

Report

Report Number
2050012-2010-00031
Event Type
Malfunction
Date Received
February 3, 2010
Date of Event
January 14, 2010
Report Date
February 3, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JGS
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THERE HAVE BEEN OCCURRENCES OF DRIFT ERRORS ON ION SELECTIVE ELECTRODE (ISE) CHEMISTRIES. QC RESULTS HAVE BEEN OUT OF RANGE. THE CUSTOMER WAS PROVIDED WITH THE TWICE-WEEKLY FLOW CELL MAINTENANCE PROCEDURE. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED: THE FSE REBUILT RATIO PUMP AND COMPLETED A PREVENTIVE MAINTENANCE (PM). 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 ERRONEOUSLY LOW SODIUM (NA) RESULTS GENERATED BY THE UNICEL DXC 800 PRO SYNCHRON CLINICAL SYSTEMS. CUSTOMER PROVIDED AN EXAMPLE OF LOW NA RESULT. THE SPECIMEN WAS RE-TESTED AND HIGHER NA RESULT WAS GENERATED. THE ERRONEOUS RESULTS WERE NOT REPORTED OUT OF THE LAB. 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 800 PRO SYNCHRON® CLINICAL SYSTEMS CLINICAL CHEMISTRY ANALYZER JGS BECKMAN COULTER INC. DXC 800 PRO

Patients

Seq Age Sex Outcome Treatment
1