FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEMS

MDR report key: 2042729 · Received April 6, 2011

Report

Report Number
2050012-2011-00964
Event Type
Malfunction
Date Received
April 6, 2011
Date of Event
February 15, 2011
Report Date
February 21, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
CGA
PMA / PMN Number
K042291
Removal / Correction Number
Z-2388-2010
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CALIBRATION HAD FAILED PRIOR TO CONFIRMING THE PATIENT RESULTS. CUSTOMER CALIBRATES AND RUNS QC EVERY 8 HOURS. GLUCOSE CUP MAINTENANCE HAD RECENTLY BEEN PERFORMED. ELECTRODE IS WITHIN ON-BOARD DATING OF 6 MONTHS. SERVICE UPDATED THE INSTRUMENT WITH THE GLUCM MODIFICATIONS FOR THE STIRRER MOTOR AND SAMPLE WHEEL COVER. ROOT CAUSE OF THIS EVENT IS UNKNOWN.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI), AND REPORTED THAT ONE GLUCOSE (GLUCM) DISCREPANT PATIENT RESULT WAS NOTED WHEN RUNNING IN DUPLICATE MODE ON UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEMS. THE SPECIMEN WAS RE-TESTED ON SAME INSTRUMENT AND OBTAINED RESULTS DID NOT CORRELATE WITH THE INITIAL GLUCM RESULT. THE DISCREPANT RESULT WAS NOT REPORTED OUT OF THE LAB. CUSTOMER COULD NOT PROVIDE THE ACTUAL RESULT THAT WAS REPORTED. PATIENT TREATMENT WAS NOT AFFECTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1