FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 1913230 · Received December 2, 2010

Report

Report Number
2050012-2010-01479
Event Type
Malfunction
Date Received
December 2, 2010
Date of Event
November 3, 2010
Report Date
November 3, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC WAS ACCEPTABLE BEFORE THE EVENT, BUT QC ON CR-S HIGH CONTROL WAS A LITTLE LOW IN THE RANGE AFTER THE EVENT. A BCI CUSTOMER TECHNICAL SUPPORT (CTS) RECOMMENDED THE CUSTOMER TO USE PERSONAL PROTECTIVE EQUIPMENT (PPE) BEFORE TROUBLESHOOTING. THE CTS INSTRUCTED THE CUSTOMER TO FLUSH THE SAMPLE PROBE USING 10% WASH SOLUTION AND RINSE WITH DI WATER. THE CUSTOMER RERAN QC, AND ALL RESULTS WERE IN THE ESTABLISHED RANGES. THE CUSTOMER RAN THREE PATIENT SAMPLES ON BOTH INSTRUMENTS AND THE GLU, TBIL, CR-S, TG, AND UREA RESULTS MATCHED. THE CUSTOMER BELIEVES THE INSTRUMENT IS NOW WORKING CORRECTLY, BUT WILL CONTINUE MONITORING. AS OF (B)(4) 2010, THERE WERE NO FURTHER CALLS FOR THIS ISSUE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO ERRONEOUS MULTIPLE CHEMISTRY RESULTS GENERATED BY UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER FOR TWO PATIENTS. THE RESULTS WERE REPORTED OUT OF THE LABORATORY. THE CUSTOMER INDICATED THAT THERE WAS NO EFFECT TO PATIENT TREATMENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1