FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM

MDR report key: 1903991 · Received November 20, 2010

Report

Report Number
2050012-2010-01359
Event Type
Malfunction
Date Received
November 20, 2010
Date of Event
October 24, 2010
Report Date
November 19, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
JGS
PMA / PMN Number
K060256
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

QC WAS WITHIN THE ESTABLISHED RANGES BUT SHOWED EVIDENCE OF IMPRECISION. A BCI FIELD SERVICE ENGINEER (FSE) REPLACED SOME HARDWARE COMPONENTS INCLUDING WASH COLLAR AND MODULAR CHEMISTRY PROBE. A DEFINITIVE ROOT CAUSE FOR THIS EVENT HAS NOT BEEN DETERMINED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO DRIFTING ISE (ION SELECTIVE ELECTRODE) RESULTS GENERATED BY UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM. THE RESULTS WERE REPORTED OUT OF THE LABORATORY, AND HAD TO BE AMENDED. THE CUSTOMER STATED THAT THE PATIENT TREATMENT WAS IMPACTED, BUT THEY DO NOT KNOW IF THE PATIENT WAS HARMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER JGS BECKMAN COULTER, INC. DXC 600I NA

Patients

Seq Age Sex Outcome Treatment
1