FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 1711212 · Received June 4, 2010

Report

Report Number
2050012-2010-00321
Event Type
Malfunction
Date Received
June 4, 2010
Date of Event
May 18, 2010
Report Date
June 4, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JFY
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC PRIOR TO THE EVENT WAS WITHIN THE LAB'S ESTABLISHED RANGES. A FIELD SERVICE ENGINEER (FSE) WAS ON-SITE. FSE EVALUATED THE SYSTEM, REPLACED SOME HARDWARE AND THE SYSTEM WAS RESUMED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING MULTIPLE LOW CREATININE (CRE) RESULTS GENERATED BY THE UNICEL DXC 800 PRO SYNCHRON CHEMISTRY ANALYZER. THE SAMPLES WERE RERUN AND GAVE HIGHER RESULTS. THERE WAS NO AFFECT TO PATIENT TREATMENT AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JFY BECKMAN COULTER INC. DXC 800 PRO NA

Patients

Seq Age Sex Outcome Treatment
1