FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 1873155 · Received October 18, 2010

Report

Report Number
2050012-2010-01012
Event Type
Malfunction
Date Received
October 18, 2010
Date of Event
September 24, 2010
Report Date
October 18, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
JGS
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC RESULTS BETWEEN (B)(6) 2010 AND (B)(6) 2010 WERE ALL WITHIN THE ESTABLISHED RANGES. THREE ATTEMPTS WERE MADE TO CONTACT THE CUSTOMER TO TROUBLESHOOT AND OFFER A SERVICE, BUT THE CUSTOMER DID NOT CALL BACK. A CLEAR ROOT CAUSE HAS NOT BEEN DETERMINED FOR THIS EVENT TO DATE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO AN ERRONEOUSLY LOW SODIUM (NA) RESULT GENERATED BY UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER. THE ERRONEOUS RESULT WAS NOT REPORTED OUT OF THE LABORATORY. THE SUBSEQUENT TESTING PRODUCED HIGHER RESULT. THERE WAS NO EFFECT TO THE PATIENT OR TO THE USER.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1