FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 1956171 · Received January 10, 2011

Report

Report Number
2050012-2011-00114
Event Type
Malfunction
Date Received
January 10, 2011
Date of Event
November 10, 2010
Report Date
December 13, 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
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO INFORMATION WAS SUPPLIED INDICATING THAT THE INSTRUMENT WAS NOT PERFORMING AS EXPECTED. SERVICE WAS NOT NOTIFIED. THE MALFUNCTION AND ROOT CAUSE IS UNKNOWN.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO OBTAINING TWO (2) ERRONEOUSLY HIGH AMYLASE (AMY) PATIENT RESULTS THAT WERE GENERATED BY THE UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER. THE TWO (2) PATIENTS WERE HOSPITALIZED FOR FIVE (5) DAYS. ON THE FOURTH DAY BOTH PATIENTS HAD A HIGH AMY RESULT OF 936 IU/L AND 970 IU/L, RESPECTIVELY. THE ERRONEOUS RESULTS WERE REPORTED OUT OF THE LABORATORY. THE FOLLOWING DAY, THEIR BLOOD DRAWN TESTS WERE BACK TO THEIR TYPICAL RESULTS. PATIENT TREATMENT WAS NOT 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 N/A

Patients

Seq Age Sex Outcome Treatment
1