FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2080917 · Received May 7, 2011

Report

Report Number
2050012-2011-01440
Event Type
Malfunction
Date Received
May 7, 2011
Date of Event
April 8, 2011
Report Date
April 8, 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
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER DID NOT PROVIDE SAMPLE COLLECTION AND STORAGE INFORMATION. QC PRIOR TO THE EVENT WAS WITHIN LAB-ESTABLISHED RANGES BUT ON THE BOTTOM OF THE RANGE. QC AFTER THE EVENT WAS OUT OF RANGE. SYSTEM WAS RECALIBRATED AND CUSTOMER REPLACED THE NA ELECTRODE. SERVICE WAS GENERATED TO EVALUATE THE INSTRUMENT. AS OF 04/22/2011, THERE ARE NO FURTHER ISE-RELATED INCIDENTS REPORTED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) TO REPORT THAT THE UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER WAS GENERATING FALSE LOW NA RESULTS FOR SIX (6) PATIENTS. SAMPLES WERE RETESTED AFTER TROUBLESHOOTING WAS PERFORMED. THE RESULTS WERE HIGHER AND REPORTED. FALSE LOW NA RESULTS WERE NOT REPORTED OUT OF THE LAB AND THERE IS NO AFFECT TO PATIENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1