FDA Adverse Event Malfunction Summary report: N

AU2700 CLINICAL CHEMISTRY ANALYZER

MDR report key: 1755114 · Received July 13, 2010

Report

Report Number
2050012-2010-00441
Event Type
Malfunction
Date Received
July 13, 2010
Date of Event
May 20, 2010
Report Date
July 13, 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

QC WAS WITHIN ESTABLISHED RANGES PRE AND POST THE EVENT. CALIBRATION AND MAINTENANCE RECORDS WERE CURRENT. A BCI FIELD SERVICE ENGINEER (FSE) CHECKED THE ANALYZER. FSE VERIFIED FUNCTION AND ALIGNMENT OF THE UNIT. THE UNIT WAS IN PROPER WORKING CONDITION. A CLEAR ROOT CAUSE FOR THIS EVENT CANNOT BE DETERMINED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO FALSELY HIGH CHOLESTEROL (CHOL) RESULT GENERATED BY AU2700 CLINICAL CHEMISTRY ANALYZER. THE PHYSICIAN QUESTIONED THE RESULT. THE SAMPLE WAS REPEATED AND LOWER RESULT WAS OBTAINED. THE INITIAL AND RERUN SAMPLES ARE PROVIDED. THE FALSE RESULT WAS REPORTED OUT OF THE LABORATORY. PATIENT TREATMENT WAS NOT IMPACTED BY THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1