FDA Adverse Event Summary report: N

UNICEL® DXC 600I SYNCHRON ® CHEMISTRY ANALYZER

MDR report key: 1896898 · Received November 11, 2010

Report

Report Number
2050012-2010-01212
Date Received
November 11, 2010
Date of Event
September 2, 2010
Report Date
November 11, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K060256
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ID, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLE WAS RUN IN A 1ML INSERT CUP. IT IS UNKNOWN IF THE SAMPLE VOLUME WAS SUFFICIENT TO RUN THE INITIAL TEST. PER CUSTOMER, THE SYSTEM HAS BEEN REPORTING INSUFFICIENT VOLUME ERRORS. A BCI FIELD SERVICE ENGINEER (FSE) FOUND THE BARREL TYPE CONNECTOR NOT PROPERLY SEATED. FSE RECONNECTED THE CABLE AND PERFORMED ALIQUOT PROBE ALIGNMENTS. THE FOLLOWING MED-WATCH REPORT IS LINKED TO THIS EVENT. 2050012-2010-00913.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO AN ERRONEOUS ELEVATED ACCUTNI RESULT ABOVE ACUTE MYOCARDIAL INFARCTION (AMI) CUT-OFF GENERATED BY THE UNICEL DXC 600I SYNCHRON CHEMISTRY ANALYZER. THE ERRONEOUS RESULT WAS REPORTED OUT OF THE LABORATORY AND THE PATIENT WAS ADMITTED TO THE HOSPITAL; HOWEVER, THE PATIENT DID NOT UNDERGO AN ANGIOGRAPHY. THE ORIGINAL SAMPLE WAS REPEATED AND A NEW REDRAWN SAMPLE WAS RUN AS WELL. LOWER RESULTS WERE OBTAINED FROM BOTH RUNS. TWO ADDITIONAL ERRONEOUS RESULTS WERE GENERATED; HOWEVER, THEY WERE NOT REPORTED OUT OF THE LABORATORY. NO INFORMATION IS AVAILABLE ON THOSE TWO SAMPLES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600I SYNCHRON ® CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. N/A N/A

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization