FDA Adverse Event Malfunction Summary report: N

OLYMPUS AU400 CLINICAL CHEMISTRY ANALYZER

MDR report key: 2114077 · Received June 6, 2011

Report

Report Number
2050012-2011-02061
Event Type
Malfunction
Date Received
June 6, 2011
Date of Event
May 6, 2011
Report Date
May 6, 2011
Manufacturer
BECKMAN COULTER MISHIMA K.K.
Product Code
JJE
PMA / PMN Number
K981743
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LE
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE R1 REAGENT PROBE WAS REPLACED ON THE INSTRUMENT, AND THE INSTRUMENT WAS RETURNED INTO SERVICE. THE CUSTOMER IS NO LONGER REPORTING PROBLEMS WITH RECOVERY. ALTHOUGH A REPAIR WAS PERFORMED A DEFINITIVE ROOT CAUSE HAS NOT BEEN IDENTIFIED TO DATE. THE MDRS ASSOCIATED WITH THIS EVENT CONSIST OF: 2050012-2011-02061, 2050012-2011-02060.

Additional Manufacturer Narrative · 1

AN INCORRECT PRODUCT CLASSIFICATION CODE WAS INITIALLY REPORTED AS "CKB". THE CORRECT PRODUCT CLASSIFICATION FOR THIS INSTRUMENT IS "JJE"

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THEY WERE EXPERIENCING NON-REPRODUCIBLE CALCIUM RESULTS GENERATED FROM A OLYMPUS AU400 CLINICAL CHEMISTRY ANALYZER. THE CUSTOMER WAS REPEATING ALL OF THEIR HIGH CALCIUM RESULTS AND SOME REPEAT RESULTS SHOW LOWER RECOVERIES. DATA WAS PROVIDED THAT INDICATED THE NON-REPRODUCIBILITY OF TWO CALCIUM VALUES GENERATED ON AN OLYMPUS AU400 CLINICAL CHEMISTRY ANALYZER. THIS REPORT REPRESENTS SAMPLE NUMBER ONE. THE INITIAL RESULT WAS REPORTED OUT OF THE LABORATORY. IT IS UNKNOWN AS TO WHETHER THERE WAS A DEATH, SERIOUS INJURY OR CHANGE TO PATIENT TREATMENT ASSOCIATED OR ATTRIBUTED TO THIS EVENT. 4. THE SAMPLE WAS A SERUM SAMPLE. QUALITY CONTROL (QC) RESULTS AND CALIBRATION RESULTS DEMONSTRATED ACCEPTABLE RECOVERY. ASSAY PRECISION ASSESSMENTS INDICATED PRECISION WAS ACCEPTABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OLYMPUS AU400 CLINICAL CHEMISTRY ANALYZER ANALYZER, CHEMISTRY JJE BECKMAN COULTER MISHIMA K.K. NA NA

Patients

Seq Age Sex Outcome Treatment
1 CALCIUM ARSENAZO