FDA Adverse Event Summary report: N

UNICEL® DXC 800 PRO SYNCHRON ® CHEMISTRY ANALYZER

MDR report key: 1964351 · Received January 19, 2011

Report

Report Number
2050012-2011-00181
Date Received
January 19, 2011
Date of Event
December 21, 2010
Report Date
December 21, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER REPLACED THE AQUACALS WITH FRESH SAMPLES AND OBTAINED HIGHER SODIUM AND CHLORIDE RESULTS. ON (B)(4) 2010 BCI FIELD SERVICE ENGINEER (FSE) INSPECTED THE ION-SELECTIVE ELECTRODE (ISE) MODULE AND CURRENT CALIBRATION REPORT. NO ISSUES WERE REPORTED AND NO VISUAL SIGNS OF CONTAMINATION WERE NOTED. FSE RAN 10% NAOCL FROM THE REAGENT STRAW AND RAN ISE HEALTH CHECK SUCCESSFULLY.

Additional Manufacturer Narrative · 1

THE CUSTOMER REPLACED THE AQUACALS WITH FRESH SAMPLES AND OBTAINED HIGHER SODIUM AND CHLORIDE RESULTS. ON (B)(4) 2010, BCI FIELD SERVICE ENGINEER (FSE) INSPECTED THE ION-SELECTIVE ELECTRODE (ISE) MODULE AND CURRENT CALIBRATION REPORT. NO ISSUES WERE REPORTED AND NO VISUAL SIGNS OF CONTAMINATION WERE NOTED. FSE RAN 10% NAOCL FROM THE REAGENT STRAW AND RAN ISE HEALTH CHECK SUCCESSFULLY. CORRECTION IN SERIAL NUMBER FROM (B)(4) TO (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO INTERMITTENT LOW ANION GAPS ON THE UNICEL DXC 800 PRO SYNCHRON CHEMISTRY ANALYZER. THE RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. THE SAMPLES WERE REPEATED USING A FRESH AQUACALS AND THE HIGHER RESULTS WERE OBTAINED. THE CUSTOMER PROVIDED TWO EXAMPLES OF PATIENT RESULTS WHICH ARE SHOWN. PATIENTS TREATMENT WAS NOT IMPACTED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO INTERMITTENT LOW ANION GAPS ON THE UNICEL DXC 800 PRO SYNCHRON CHEMISTRY ANALYZER. THE RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. THE SAMPLES WERE REPEATED USING A FRESH AQUACALS AND THE HIGHER RESULTS WERE OBTAINED. THE CUSTOMER PROVIDED TWO EXAMPLES OF PATIENT RESULTS WHICH ARE SHOWN. PATIENTS TREATMENT WAS NOT IMPACTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 800 PRO SYNCHRON ® CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. DXC 800 PRO N/A

Patients

Seq Age Sex Outcome Treatment
1