FDA Adverse Event Summary report: N

UNICEL® DXC 880I SYNCHRON® ACCESS® CLINICAL SYSTEM (FULL SYSTEM)

MDR report key: 1995130 · Received February 17, 2011

Report

Report Number
2050012-2011-00429
Date Received
February 17, 2011
Date of Event
December 21, 2010
Report Date
December 22, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K060256
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLES WERE SERUM COLLECTED IN 13 X 75 MM TUBE. THE SAMPLES WERE ALIQUOTED BY THE AUTOMATE AND TESTED ON THE DXC 800. THE SAMPLE VOLUME USED IN THE TESTING IS 3 UL. THE CUSTOMER RAN THERAPEUTIC DRUG MONITORING (TDM) CONTROLS AFTER LOADING AND CALIBRATING REAGENT ONCE A DAY. ALL THE DAILY QC RESULTS MET ESTABLISHED RANGES. A BCI FIELD SERVICE ENGINEER (FSE) INSPECTED THE INSTRUMENTS AND DID NOT NOTE OR IDENTIFY ANY ISSUES A CLEAR ROOT CAUSE IS UNKNOWN FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO ERRONEOUS LOW LITHIUM RESULT ON ONE PATIENT GENERATED BY THE UNICEL DXC 880I SYNCHRON ACCESS CLINICAL SYSTEM. THE RESULT WAS REPORTED OUT OF THE LABORATORY. THE HOSPITAL PHARMACIST IDENTIFIED THE RESULT AS ERRONEOUS AND NOTIFIED THE CUSTOMER. THE SAMPLE WAS REPEATED AND HIGHER RESULT WAS OBTAINED. AMENDED REPORT WAS INITIATED. PATIENT SAMPLES ARE PROVIDED. PATIENT TREATMENT WAS NOT IMPACTED BY THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 880I SYNCHRON® ACCESS® CLINICAL SYSTEM (FULL SYSTEM) DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER, JJE BECKMAN COULTER INC. DXC 880I N/A

Patients

Seq Age Sex Outcome Treatment
1