FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO® SYNCHRON CLINICAL SYSTEM

MDR report key: 2083755 · Received May 10, 2011

Report

Report Number
2050012-2011-01599
Event Type
Malfunction
Date Received
May 10, 2011
Date of Event
April 12, 2011
Report Date
April 12, 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
OK, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SAMPLE COLLECTION INFORMATION WERE NOT PROVIDED. QC INFORMATION WAS NOT PROVIDED. CUSTOMER STATED THAT THEY RESOLVED THE ISSUE BY ADJUSTING THE LAB ROOM TEMPERATURE. BCI SERVICE SUSPECTED CONTAMINATION AND DECONTAMINATED SYSTEM. SERVICE INDICATED THAT THE DRIFT WAS RELATED TO THE LAB'S AIR CONDITIONING. AS OF 04/25/2011, THE CUSTOMER DID NOT REPORT ANY ADDITIONAL ION-SELECTIVE ELECTRODE (ISE) ISSUES.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) TO REPORT THAT THE UNICEL DXC 600 PRO INSTRUMENT GENERATED HIGH NA, K, AND CL RESULTS FOR ONE (1) PATIENT. RESULTS WERE REPORTED OUT OF THE LAB AND WERE QUESTIONED BY PHYSICIANS. THE CUSTOMER DID NOT PROVIDE ANY OTHER DETAILS AND IT IS UNKNOWN IF RESULTS WERE AMENDED. THE MAGNITUDE OF ERROR IS UNKNOWN. MULTIPLE ATTEMPTS WERE MADE TO OBTAIN ADDITIONAL DATA. THE CUSTOMER DID NOT SUPPLY ANY ADDITIONAL DATA. TREATMENT WAS NOT INITIATED OR WITHHELD BASED UPON THE RESULTS REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1