FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2114177 · Received June 6, 2011

Report

Report Number
2050012-2011-02152
Event Type
Malfunction
Date Received
June 6, 2011
Date of Event
May 5, 2011
Report Date
May 5, 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
RI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLES WERE URINE DRUGS OF ABUSE SAMPLES. CUSTOMER DID NOT INDICATE ANY ISSUES WITH CALIBRATION OR QC. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED AND FOUND THAT THE CHEMISTRY CARTRIDGE (CC) REAGENT AND THE CC SYRINGES WERE LOOSE. THE FSE ALSO FOUND THAT THE REAGENT PROBE B CUVETTES WERE GENERATING DIRTY CUVETTE MESSAGES. CUSTOMER STATED THAT THE INSTRUMENT WAS GENERATING "CUVETTE NOT DRY" ERROR MESSAGES WHEN THE FSE ARRIVED. THE FSE REPLACED THE REAGENT PROBE B AND PERFORMED ALL CC SIDE ALIGNMENTS. THE ROOT CAUSE APPEARS TO BE HARDWARE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI) STATING THAT THE UNICEL DXC 800 PRO SYNCHRON CHEMISTRY ANALYZER GENERATED THREE (3) FALSE NEGATIVE DRUGS OF ABUSE PATIENT SAMPLES THAT WERE NOTICED BY THE CUSTOMER. RERUNS WERE PERFORMED ON AN ALTERNATE INSTRUMENT AND RESULTED IN POSITIVE RESULTS AND WERE REPORTED OUT. PATIENT TREATMENT WAS NOT AFFECTED AS THE CUSTOMER RERUNS THE SAMPLES ON ALTERNATE INSTRUMENTS PRIOR TO REPORTING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. DXC 800 PRO NA

Patients

Seq Age Sex Outcome Treatment
1 15 YR