BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNICEL® DXC 800 PRO SYNCHRON® CLINICAL SYSTEMS

    MDR report key: 1653280 · Received April 7, 2010

    Report

    Report Number
    2050012-2010-00162
    Event Type
    Malfunction
    Date Received
    April 7, 2010
    Date of Event
    March 11, 2010
    Report Date
    April 7, 2010
    Manufacturer
    BECKMAN COULTER INC.
    Product Code
    CGZ
    PMA / PMN Number
    K042291
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE SYSTEM IS CALIBRATED EVERY 24 HOURS AND QC IS ROUTINELY RUN EVERY 4 HOURS. PRIOR TO THE EVENT QC RESULTS WERE WITHIN THE LAB'S ESTABLISHED RANGES.A FIELD SERVICE ENGINEER (FSE) DECONTAMINATED THE SYSTEM AND REPLACED THE CARBON BRIDGE.A CLEAR ROOT CAUSE HAS NOT BEEN DETERMINED FOR THIS EVENT. 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 CHLORIDE (CL) RESULTS GENERATED BY THE UNICEL® DXC 800 PRO SYNCHRON® CLINICAL SYSTEMS FOR TWO PATIENTS.THE ERRONEOUS RESULTS WERE REPORTED OUTSIDE OF THE LAB.THE SAMPLES WERE REPEATED AND HIGHER RESULTS WERE OBTAINED WHICH WERE CORRECTED.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 CGZ BECKMAN COULTER INC. DXC 800 PRO NA

    Patients

    Seq Age Sex Outcome Treatment
    1