FDA Adverse Event Malfunction Summary report: N

SYNCHRON® LX® I 725 CLINICAL SYSTEM

MDR report key: 1821430 · Received August 31, 2010

Report

Report Number
2050012-2010-00632
Event Type
Malfunction
Date Received
August 31, 2010
Date of Event
August 4, 2010
Report Date
August 31, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
MMI
PMA / PMN Number
K023049
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QUALITY CONTROL (QC) AND SYSTEM CHECKS HAVE BEEN RECOVERED APPROPRIATELY. FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ONTO LOCATION AND PERFORMED ROUTINE CTA (CLOSED TUBE ALIQUOTTER) REPAIRS IN ADDITION TO TROUBLESHOOTING SAMPLE HANDLING AND CENTRIFUGATION ISSUES. REPLACED THE ALIQUOT PROBE AND REPAIRED THE PUMP BOX. INCREASED THE CENTRIFUGATION TIME DUE TO OBSERVATIONS OF CELLS AND DEBRIS IN SAMPLE SERUM. THE ROOT CAUSE IS UNKNOWN FOR THIS EVENT AT THIS TIME; INVESTIGATION IS CONTINUING.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING ERRONEOUSLY HIGH TROPONIN (ACCUTNI) RESULTS FOR MULTIPLE PATIENT SPECIMENS (RESULTS RANGING BETWEEN 0.6 NG/ML - 1.22 NG/ML). UPON REPEAT, ALL SAMPLES WERE RERUN AND ALL WERE RECOVERED BELOW. ONE PATIENT WAS ADMITTED TO THE HOSPITAL AND TREATED BASED ON HIGH TROPONIN RESULT. THERE WAS NO DEATH OR INJURY AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON® LX® I 725 CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER MMI BECKMAN COULTER INC. LX®I 725 NA

Patients

Seq Age Sex Outcome Treatment
1