FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEMS

MDR report key: 1916706 · Received December 7, 2010

Report

Report Number
2050012-2010-01541
Event Type
Malfunction
Date Received
December 7, 2010
Date of Event
November 10, 2010
Report Date
November 10, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NM, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC PRIOR TO THE EVENT WAS WITHIN LAB-ESTABLISHED RANGES. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED: THE FSE REPLACED THE CARBON BRIDGE AND VERIFIED PERFORMANCE OF THE SYSTEM. A CLEAR ROOT CAUSE FOR THIS EVENT IS UNKNOWN.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING FALSE HIGH SODIUM (NA) AND CHLORIDE (CL) RESULTS GENERATED BY THE UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEMS FOR TWO PATIENTS. THE ORIGINAL SAMPLES WERE RETESTED AND OBTAINED RESULTS WERE LOWER AND WERE REPORTED OUT OF THE LAB. THE FALSE HIGH RESULTS WERE NOT REPORTED OUT OF THE LAB. PATIENT TREATMENT WAS NOT AFFECTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1