FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2060393 · Received April 15, 2011

Report

Report Number
2050012-2011-01156
Event Type
Malfunction
Date Received
April 15, 2011
Date of Event
March 15, 2011
Report Date
March 16, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO SAMPLE INFORMATION WAS PROVIDED AND NO SAMPLE ISSUES WERE NOTED. CUSTOMER INDICATED THAT QC RESULTS WERE WITHIN SPECIFICATIONS. NO SYSTEM ISSUES WERE NOTED. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED FOR THIS EVENT. THE FSE PERFORMED TROUBLESHOOTING AND REPLACED MULTIPLE HARDWARE PARTS AND PERFORMED ALL THE NECESSARY ALIGNMENTS. THE FSE ALSO PERFORMED ROUTINE REPAIRS AND VERIFIED QC. THIS RESOLVED THE ISSUE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO OBTAINING FALSELY HIGH MAGNESIUM (MG) RESULTS THAT WERE GENERATED BY THE UNICEL DXC 800 PRO SYNCHRON CHEMISTRY ANALYZER. ONE OF THE ERRONEOUS RESULTS WERE REPORTED OUT OF THE LABORATORY; HOWEVER, THE CUSTOMER DID NOT INDICATE WHICH SAMPLE RESULT WAS REPORTED OUT. CUSTOMER INDICATED THAT PATIENT TREATMENT WAS NOT AFFECTED IN THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. DXC 800 PRO N/A

Patients

Seq Age Sex Outcome Treatment
1