FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CLINICAL SYSTEMS

MDR report key: 1760299 · Received July 16, 2010

Report

Report Number
2050012-2010-00449
Event Type
Malfunction
Date Received
July 16, 2010
Date of Event
July 4, 2010
Report Date
July 16, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ION SELECTIVE ELECTRODE (ISE) SYSTEM IS CALIBRATED IN EACH SHIFT. QC IS RUN WITH EVERY CALIBRATION. BEFORE THE EVENT, K QC RESULTS WERE WITHIN THE LAB'S ESTABLISHED RANGES. MULTIPLE PARTS WERE REPLACED, SOME OF THEM WERE DONE BY CUSTOMER. FSE SERVICED THE ANALYZER AND VERIFIED ITS PERFORMANCE. A CLEAR ROOT CAUSE FOR THIS EVENT HAS NOT BEEN DETERMINED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI) REGARDING ERRONEOUSLY HIGH POTASSIUM (K) RESULTS GENERATED BY THE UNICEL DXC 800 PRO SYNCHRON CLINICAL SYSTEMS FOR SEVERAL SAMPLES. THE RESULTS WERE REPORTED OUT OF THE LAB. THE ORIGINAL SPECIMENS WERE RE-TESTED AND REPEATED RESULTS OBTAINED WERE LOWER FOR ALL PATIENTS. THE CUSTOMER HAS NOT RECEIVED ANY REPORT OF PATIENT INJURY REQUIRING MEDICAL INTERVENTION OR CHANGE TO PATIENT TREATMENT ATTRIBUTED TO OR CONNECTED WITH THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1