FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM

MDR report key: 2110736 · Received June 1, 2011

Report

Report Number
2050012-2011-02066
Event Type
Malfunction
Date Received
June 1, 2011
Date of Event
May 2, 2011
Report Date
May 2, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K060256
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SAMPLE COLLECTION AND CENTRIFUGATION INFORMATION WERE NOT SUPPLIED. QC WAS WITHIN ESTABLISHED RANGES BEFORE THE EVENT. BCI FIELD SERVICE ENGINEER (FSE) INVESTIGATED PRECISION ISSUES AND FOUND FLUID ON TOP OF REACTION CAROUSEL COVER AND REAGENT CAROUSEL COVER. FSE REPLACED VALVES TO ADDRESS THE PROBLEM.

Description of Event or Problem · 1

A CUSTOMER REPORTED TO BECKMAN COULTER INC. (BCI) THAT THE UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM GENERATED ERRONEOUS CHEMISTRY RESULTS FOR TWO (2) PATIENTS. RESULTS WERE REPORTED OUT OF THE LAB. REPEAT TESTING GENERATED HIGHER RESULTS AND PATIENT REPORTS WERE AMENDED WITH THESE HIGHER RESULTS. NO CHANGE TO PATIENT TREATMENT OR DIAGNOSIS WAS REPORTED IN CONNECTION WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. DXC 600I NA

Patients

Seq Age Sex Outcome Treatment
1 72 YR