FDA Adverse Event Malfunction Summary report: N

SYNCHRON LX 20 PRO CLINICAL SYSTEMS

MDR report key: 2110843 · Received June 2, 2011

Report

Report Number
2050012-2011-02092
Event Type
Malfunction
Date Received
June 2, 2011
Date of Event
May 1, 2011
Report Date
May 2, 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
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLES WERE SERUM.QC PRIOR TO AND AFTER THE EVENT WAS WITHIN LAB-ESTABLISHED RANGES.A BCI FIELD SERVICE ENGINEER CLEANED BUILDUP FROM THE CL PORT, CLEANED THE FLOW CELL AND CHANGED REAGENTS. PERFORMANCE VERIFIED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO ERRONEOUS HIGH SODIUM (NA) AND CHLORIDE (CL) RESULTS GENERATED ON THE SYNCHRON LX 20 PRO CLINICAL SYSTEMS AFTER THE SYSTEM HAS BEEN IDLE. THE ERRONEOUS RESULTS WERE NOT REPORTED OUT OF THE LABORATORY; HENCE PATIENT TREATMENT WAS NOT IMPACTED. THE SAMPLES WERE REPEATED AND LOWER RESULTS WERE OBTAINED. THE CUSTOMER PROVIDED RESULTS FROM 2 PATIENTS. ALTHOUGH THE CUSTOMER COMPLAINED OF NA AND CL, QA NOTED THAT THE DIFFERENCE IN K RESULTS FOR ONE OF THE PATIENTS EXCEEDED ASSAY PRECISION CLAIMS.

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