FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEMS

MDR report key: 1634887 · Received March 18, 2010

Report

Report Number
2050012-2010-00124
Event Type
Malfunction
Date Received
March 18, 2010
Date of Event
February 25, 2010
Report Date
March 18, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC WAS PERFORMED BEFORE THE EVENT WITH ACCEPTABLE RESULTS. A FIELD SERVICE ENGINEER (FSE) WAS NOT DISPATCHED. PER FOLLOW-UP CALL, CUSTOMER STATED THE PATIENT HAS BEEN MONITORED FOR CK RESULTS OVER 2 WEEKS PERIOD, AND THE PATIENT'S CK RESULTS RANGE FROM 25-50 IU/L. THEREFORE, THE 37 IU/L RESULT AGREES WITH THE PATIENT'S HISTORICAL RESULTS. 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 A SUPPRESSED OIR LOW CREATINE KINASE (CK) RESULT GENERATED BY THE UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEMS. THE LAB OBTAINED A SUPPRESSED OIR LO CK RESULT FROM A NEAT SAMPLE. THE SPECIMEN WAS DILUTED WITH A KNOWN BIORAD 1 CONTROL AND A RESULT OF 36 IU/L WAS GENERATED (MANUAL CALCULATION BY THE CUSTOMER). THE CUSTOMER CONFIRMED THE RESULT BY DILUTING THE NEAT SAMPLE WITH SALINE WHICH YIELDED A RESULT OF 37 IU/L. THE RESULT WAS REPORTED OUT OF THE LAB. PATIENT TREATMENT WAS NOT AFFECTED IN CONNECTION TO THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1