FDA Adverse Event Injury Summary report: N

UNICEL® DXC 600I SYNCHRON ® CHEMISTRY ANALYZER

MDR report key: 2008151 · Received March 4, 2011

Report

Report Number
2050012-2011-00542
Event Type
Injury
Date Received
March 4, 2011
Date of Event
February 5, 2011
Report Date
February 7, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
DKJ
PMA / PMN Number
K060256
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC WAS RUN PRIOR TO THE EVENT AND THE RESULTS WERE WITHIN ESTABLISHED RANGES. THE CUSTOMER FOUND THE SAMPLE PROBE AND COLLAR WASH CONTAINED GEL FROM THE SERUM SEPARATOR TUBE. THE CUSTOMER REPLACED THE PARTS AND REQUESTED SERVICE. A BCI FIELD SERVICE ENGINEER (FSE) PERFORMED THE FOLLOWINGS: CLEANED THE CARTRIDGE CHEMISTRY (CC) SAMPLE PROBE AND COLLAR WASH. REPLACED THE CC LEVEL SENSE BEAD AND PERFORMED ALIGNMENT. RAN SAMPLE AND CONFIRMED THE CORRECT RESULTS.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO AN ERRONEOUS HIGH SALICYLATES RESULTS ON ONE PATIENT GENERATED BY THE UNICEL DXC 600I SYNCHRON CHEMISTRY ANALYZER. THE ERRONEOUS RESULT WAS REPORTED OUT OF THE LABORATORY. THE SAMPLE WAS REPEATED AND LOWER RESULT WAS OBTAINED. AMENDED REPORT WAS INITIATED. PATIENT WAS ADMITTED TO THE HOSPITAL BASED ON THE FALSE HIGH RESULT. UNKNOWN IF ANY TREATMENT WAS ADMINISTERED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600I SYNCHRON ® CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER DKJ BECKMAN COULTER INC. DXC 600I N/A

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization