FDA Adverse Event Malfunction Summary report: N

SYNCHRON UNICEL DXC 800 PRO CLINICAL SYSTEMS

MDR report key: 1810389 · Received August 20, 2010

Report

Report Number
2050012-2010-00582
Event Type
Malfunction
Date Received
August 20, 2010
Date of Event
July 22, 2010
Report Date
August 20, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC PRE AND POST EVENT WAS WITHIN 1 SD OF THE MEAN. A BCI FIELD SERVICE ENGINEER (FSE) CLEANED THE SAMPLE MIXER WASH STATION INSERT. FSE ALSO REPLACED SAMPLE AND REAGENT MIXERS. A CLEAR ROOT CAUSE CAN NOT BE DETERMINED FROM THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC (BCI) IN REGARDS TO ERRONEOUSLY HIGH MAGNESIUM (MG) RESULTS GENERATED BY UNICEL DXC 800 PRO CLINICAL SYSTEM. THE ERRONEOUS RESULTS WERE REPORTED OUT OF THE LABORATORY. ONE PHYSICIAN QUESTIONED A HIGH MG RESULT, WHICH CAUSED THE LAB TO REPEAT THAT RESULT AND OTHER MG RESULTS FROM THAT DAY. UNKNOWN IF PATIENT TREATMENT WAS IMPACTED BY THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1