FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 1932434 · Received December 17, 2010

Report

Report Number
2050012-2010-01603
Event Type
Malfunction
Date Received
December 17, 2010
Date of Event
November 18, 2010
Report Date
November 18, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC WAS PERFORMING WITHIN CUSTOMER'S ESTABLISHED SPECIFICATIONS. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED FOR THIS EVENT. THE FSE FLUSHED THE GLUCOSE MODULE, CHECKED THE ELECTRODE, AND MADE AN ALIGNMENT ADJUSTMENT OF THE MODULE TO THE SAMPLE PROBE. THE ROOT CAUSE IS UNKNOWN.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS OBTAINING EIGHT (8) GLUCOSE (GLUC) PATIENT RESULTS THAT DID NOT MATCH WHEN RAN IN DUPLICATE MODE THAT WERE GENERATED BY THE UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER. ORIGINAL SAMPLES AND DUPLICATE MODE RERUNS WERE SEQUENTIAL. NO ERRONEOUS RESULTS WERE REPORTED OUT OF THE LABORATORY. THE RESULTS, PROVIDED BY THE CUSTOMER. NO PATIENT RESULTS WERE AFFECTED IN THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1