FDA Adverse Event Malfunction Summary report: N

UNICEL® DXI 800 ACCESS® IMMUNOASSAY SYSTEM

MDR report key: 2001924 · Received February 27, 2011

Report

Report Number
2122870-2011-00479
Event Type
Malfunction
Date Received
February 27, 2011
Date of Event
January 31, 2011
Report Date
January 31, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K023764
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER COLLECTS FERRITIN SAMPLES IN BD SERUM TUBES. THE SPECIMENS ARE CENTRIFUGED AT 3,000G FOR 10 MINUTES. FERRITIN QC HAS BEEN WITHIN THE CUSTOMER'S ESTABLISHED RANGES. THERE IS NO INDICATION THAT SERVICE WAS DISPATCHED FOR THIS EVENT. A DEFINITIVE ROOT CAUSE HAS NOT BEEN DETERMINED TO DATE FOR THIS EVENT WITH THE DATA PROVIDED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI), REGARDING LOWER THAN EXPECTED FERRITIN RESULTS GENERATED BY THE UNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM FOR MULTIPLE PATIENTS. THE RESULTS WERE REPORTED OUT OF THE LAB. SUBSEQUENT TESTING ON TWO DIFFERENT METHODOLOGIES PRODUCED HIGHER, DISCORDANT RESULTS. THE CUSTOMER DID NOT RECEIVE ANY REPORT OF PATIENT INJURY REQUIRING MEDICAL INTERVENTION OR CHANGE TO PATIENT TREATMENT ATTRIBUTED OR CONNECTED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXI 800 ACCESS® IMMUNOASSAY SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. NA

Patients

Seq Age Sex Outcome Treatment
1