FDA Adverse Event Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEMS

MDR report key: 2021258 · Received March 16, 2011

Report

Report Number
2050012-2011-00607
Date Received
March 16, 2011
Date of Event
February 14, 2011
Report Date
February 15, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SPECIMENS WERE COLLECTED IN GOLD TOP TUBES. QC WAS WITHIN ESTABLISHED RANGES BEFORE THE EVENT. A FIELD SERVICE ENGINEER (FSE) REPLACED REAGENT PROBE "B" WASH COLLAR. THE FSE FOUND LEVEL SENSE BEAD DAMAGED WHICH WAS REPLACED. THE FSE INSPECTED AND CLEANED MIXER WASH STATIONS AND REPAIRED SAMPLE WASH STATION. FSE ALSO FOUND THAT CUVETTES NEEDED ACID WASH, WHICH WAS COMPLETED. THE FSE VERIFIED REPAIR WITH 20 SAMPLE PRECISION FOR REPEATABILITY AND PERFORMED TEST TO VERIFIED ACCURACY. NO ROOT CAUSE WAS IDENTIFIED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING ERRONEOUSLY LOW PHOSPHORUS (PHS) RESULTS GENERATED BY THE UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEMS FOR THREE PATIENTS. THE RESULTS WERE ORR LO, CONFIRMED WITH CUSTOMER THAT THEIR REPORTABLE RANGE WAS 0.5MG/DL. PATIENT SAMPLES WERE SENT TO A REFERENCE LAB FOR REPORTED RESULTS AND THEN RE-CONFIRMED ON THE INSTRUMENT AFTER THE REPAIR. PATIENT RESULTS ARE PROVIDED. THERE WAS NO CHANGE TO PATIENT TREATMENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1