FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CLINICAL SYSTEMS

MDR report key: 1657083 · Received April 13, 2010

Report

Report Number
2050012-2010-00174
Event Type
Malfunction
Date Received
April 13, 2010
Date of Event
March 17, 2010
Report Date
April 12, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JGS
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SYSTEM IS CALIBRATED EVERY 24 HOURS FOLLOWED BY A QC RUN. PRIOR TO THIS EVENT, THE ISE QC RESULTS WERE WITHIN THE LAB'S ESTABLISHED RANGES.A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED: A) THE FSE REPLACED THE RATIO PUMP PISTON AND SEALS.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 INTERMITTENTLY, ERRONEOUSLY HIGH SODIUM (NA) AND CHLORIDE RESULTS GENERATED BY THE UNICEL® DXC 800 PRO SYNCHRON® CLINICAL SYSTEMS.THE SAMPLES WERE REPEATED ON A DIFFERENT INSTRUMENT AND LOWER RESULTS WERE OBTAINED. THESE RESULTS WERE REPORTED OUT OF THE LAB.THERE WAS NO AFFECT TO PATIENT TREATMENT. THE ERRONEOUS RESULTS WERE NOT REPORTED OUT OF THE LAB.

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