FDA Adverse Event Malfunction Summary report: N

UNICEL® DXI 600 ACCESS IMMUNOASSAY SYSTEM

MDR report key: 1903946 · Received November 20, 2010

Report

Report Number
2122870-2010-00795
Event Type
Malfunction
Date Received
November 20, 2010
Date of Event
October 8, 2010
Report Date
November 19, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K023764
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC WAS WITHIN THE CUSTOMER'S ESTABLISHED RANGES PRIOR TO AND AFTER THE EVENT. A ROUTINE SYSTEM CHECK WAS PERFORMED, BY THE CUSTOMER, ON (B)(6) 2010 WHICH PASSED WITHIN INSTRUMENT SPECIFICATIONS. THERE IS NO INDICATION THAT SERVICE WAS DISPATCHED FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO OBTAINING ERRONEOUSLY LOW ESTRADIOL RESULTS OF 0 PG/ML FOR MULTIPLE PATIENTS. ERRONEOUS RESULTS WERE REPORTED OUT OF THE LABORATORY. SUBSEQUENT TESTING PRODUCED HIGHER RESULTS IN A DIFFERENT CLINICAL CATEGORY FOR ALL AFFECTED PATIENTS. THE CUSTOMER DID NOT RECEIVE ANY REPORT OF PATIENT INJURY REQUIRING MEDICAL INTERVENTION OR CHANGE TO PATIENT TREATMENT ATTRIBUTED OR CONNECTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXI 600 ACCESS IMMUNOASSAY SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. DXI 600 N/A

Patients

Seq Age Sex Outcome Treatment
1