FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON CLINICAL SYSTEM

MDR report key: 1961961 · Received January 15, 2011

Report

Report Number
2050012-2011-00164
Event Type
Malfunction
Date Received
January 15, 2011
Date of Event
December 17, 2010
Report Date
December 17, 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
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A BCI FIELD SERVICE ENGINEER (FSE) INSPECTED THE SYSTEM AND INDICATED THE SYSTEM WAS UP TO DATE ON MODIFICATION AND MAINTENANCE. THE FSE COULD NOT FIND ANY ISE (ION SELECTIVE ELECTRODES) MODULE PROBLEMS. NO REPAIR WAS PERFORMED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO ERRONEOUS SODIUM (NA) AND CHLORIDE (CL) RESULTS GENERATED BY UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEM FOR ONE PATIENT. THE RESULTS WERE REPORTED OUT OF THE LABORATORY.REPEAT TESTING PRODUCED HIGHER RESULTS. NO EFFECT TO THE PATIENT WAS NOTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1