FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 1844090 · Received September 24, 2010

Report

Report Number
2050012-2010-00802
Event Type
Malfunction
Date Received
September 24, 2010
Date of Event
August 25, 2010
Report Date
September 24, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BECAUSE THE EVENT WAS REPORTED TO BCI MANY DAYS LATE, TROUBLESHOOTING WAS NOT PERFORMED. THE CUSTOMER HAD REPLACED THE ELECTRODE PRIOR TO SERVICE ARRIVING. THE SIX MONTHS ON-BOARD LIFE OF THE ELECTRODE HAD EXPIRED. AN EXPIRED ELECTRODE IS A ROOT CAUSE FOR THE EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO AN ERRONEOUSLY LOW GLUCOSE (GLUCM) RESULT OF 18 MG/DL GENERATED BY UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER FOR ONE PATIENT. THE RESULT WAS NOT REPORTED OUT OF THE LABORATORY. SUBSEQUENT TESTING PRODUCED HIGHER RESULTS OF 114 AND 111 MG/DL, WHICH WERE REPORTED. THERE WAS NO EFFECT TO THE PATIENT OR THE USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER CLINICAL CHEMSTRY ANALYZER JJE BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1