FDA Adverse Event Malfunction Summary report: N

SYNCHRON® LX20 PRO CHEMISTRY ANALYZER

MDR report key: 1883638 · Received October 26, 2010

Report

Report Number
2050012-2010-01058
Event Type
Malfunction
Date Received
October 26, 2010
Date of Event
October 2, 2010
Report Date
October 26, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K011213
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED FOR THIS EVENT. FSE FOUND THE FITTING ON THE MODULAR CHEMISTRY (MC) LEVEL SENSE BEAD WAS LOOSE. FSE CLEANED THE FLOW CELL AND ALL THE ELECTRODES. REPLACED THE CO2 REFERENCE ELECTRODE AND CO2 MEASURING ELECTRODE MEMBRANE. THE FLAPPER ON THE ELECTRICAL CONNECTION (EIC) VALVE WAS FOUND TO BE CRACKED SO THE FSE REPLACED IT. THE FSE ALIGNED THE MC PROBE AND ALL ISE REAGENTS WERE REPLACED. AS OF (B)(4) 2010, THERE WERE NO FURTHER CALLS TO THE BCI HOTLINE FOR ISE PROBLEMS.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC (BCI) IN REGARDS TO OBTAINING FALSE HIGH SODIUM (NA) AND CHLORIDE (CL) RESULTS THAT WERE GENERATED BY THE SYNCHRON LX20 PRO CHEMISTRY ANALYZER FOR 2 PATIENT SAMPLES. NO ERRONEOUS RESULTS WERE REPORTED OUTSIDE THE LABORATORY. SAMPLES WERE REPEATED ON AN ALTERNATE INSTRUMENT, WHICH PRODUCED LOWER RESULTS AND WERE REPORTED OUT OF THE LAB. THERE WAS NO AFFECT TO PATIENT TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON® LX20 PRO CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. LX20 PRO N/A

Patients

Seq Age Sex Outcome Treatment
1