FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM

MDR report key: 1914672 · Received December 3, 2010

Report

Report Number
2050012-2010-01482
Event Type
Malfunction
Date Received
December 3, 2010
Date of Event
November 4, 2010
Report Date
November 4, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
DHR
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CALIBRATION AND QC RESULTS WERE ACCEPTABLE. NO SYSTEM ERROR WAS NOTED. THE CUSTOMER IS USING REAGENT LOT M004772. SERVICE WAS NOT NEEDED FOR THIS EVENT AS THE ISSUE IS RELATED TO REAGENT. INVESTIGATION INTO ROOT CAUSE OF THIS EVENT IS ONGOING.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO (B)(6) RHEUMATOID FACTOR (RF) RESULTS GENERATED BY UNICEL DXC 600 SYNCHRON CLINICAL SYSTEM. THE CUSTOMER INDICATED THE RESULTS ARE BETWEEN 20 AND 30 IU/ML, WHEN THEY SHOULD BE < 20 IU/ML. THE RESULTS WERE REPORTED OUT OF THE LABORATORY. THERE WAS NO EFFECT TO PATIENT TREATMENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1