FDA Adverse Event Malfunction Summary report: N

SYNCHRON® LX 20 PRO CLINICAL SYSTEMS

MDR report key: 2083752 · Received May 10, 2011

Report

Report Number
2050012-2011-01596
Event Type
Malfunction
Date Received
May 10, 2011
Date of Event
April 11, 2011
Report Date
April 11, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K011213
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SAMPLE COLLECTION WERE NOT PROVIDED. QC RECOVERED WITHIN LAB-ESTABLISHED RANGES. IF QC WAS NOT RUN AFTER STANDBY, THE INSTRUMENT WOULD NOT EXHIBIT THE ISSUE. BCI FIELD SERVICE ENGINEER (FDS) REPLACED THE RATIO PUMP AND VERIFIED PERFORMANCE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) TO REPORT THAT THE SYNCHRON LX20 ANALYZER GENERATED SODIUM RESULTS APPROXIMATELY 5MMOL/L HIGHER THAN SUBSEQUENT RESULTS. REPEATED TESTING GENERATED LOWER RESULTS AND WERE REPORTED. THERE WAS NO EFFECT ON PATIENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON® LX 20 PRO CLINICAL SYSTEMS CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. LX 20 PRO N/A

Patients

Seq Age Sex Outcome Treatment
1