FDA Adverse Event Malfunction Summary report: N

AU2700 CLINICAL CHEMISTRY ANALYZER

MDR report key: 1751505 · Received July 10, 2010

Report

Report Number
2050012-2010-00390
Event Type
Malfunction
Date Received
July 10, 2010
Date of Event
June 11, 2010
Report Date
July 9, 2010
Manufacturer
BECKMAN COULTER MISHIMA K.K.
Product Code
JJE
PMA / PMN Number
K003721
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CALIBRATION AND QC WAS WITHIN SPECIFICATIONS BEFORE THE EVENT. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED: THE FSE VERIFIED THE INSTRUMENT AND FOUND NO ABNORMALITIES. NO ROOT CAUSE HAS BEEN DETERMINED FOR THE INCORRECT RESULT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI) REGARDING A FALSE HIGH CREATININE RESULT GENERATED BY THE AU2700 CLINICAL CHEMISTRY ANALYZER FOR ONE PATIENT. THE HIGH RESULT WAS REPORTED OUT OF THE LAB AND WAS QUESTIONED BY THE PHYSICIAN. THE LAB RE-TESTED THE ORIGINAL SPECIMEN AND OBTAINED A LOWER RESULT. PATIENT TREATMENT WAS NOT AFFECTED IN CONNECTION TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AU2700 CLINICAL CHEMISTRY ANALYZER AU2700 CHEMISTRY ANALYZER JJE BECKMAN COULTER MISHIMA K.K. AU2700

Patients

Seq Age Sex Outcome Treatment
1