FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEMS

MDR report key: 1690146 · Received May 14, 2010

Report

Report Number
2050012-2010-00258
Event Type
Malfunction
Date Received
May 14, 2010
Date of Event
April 26, 2010
Report Date
May 14, 2010
Manufacturer
BECKMAN COULTER INC
Product Code
JGS
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE ISE SYSTEM IS ROUTINELY CALIBRATED EVERY 24 HOURS. QC SAMPLES ARE RUN EVERY 8 HOURS. THE BCI ENGINEER DECONTAMINATED THE ISE SYSTEM. MALFUNCTION WILL BE ASSUMED FOR THE PURPOSE OF THIS ANALYSIS.

Description of Event or Problem · 1

CUSTOMER CONTACTED BECKMAN COULTER INC (BCI) IN REGARDS TO ERRONEOUSLY HIGH SODIUM (NA) AND POTASSIUM (K) RESULTS, WHICH WERE GENERATED BY UNICEL DXC 600 PRO CHEMISTRY ANALYZER. THE CUSTOMER SUPPLIED ONE EXAMPLE OF A FALSE HIGH NA RESULT WHICH 174 MMOL/L ON RUN ONE AND 136 MMOL/L ON REPEAT RUN. SODIUM RESULTS WERE NOT REPORTED OUT OF LABORATORY AND PATIENT TREATMENT WAS NOT IMPACTED.

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 UNICEL DXC 600 PRO

Patients

Seq Age Sex Outcome Treatment
1