FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2114189 · Received June 6, 2011

Report

Report Number
2050012-2011-02073
Event Type
Malfunction
Date Received
June 6, 2011
Date of Event
May 2, 2011
Report Date
May 4, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

GLUCM QC IS WITHIN 2SD OF CUSTOMER'S ESTABLISHED RANGES FOR ALL 3 LEVELS. BCI SERVICE REPLACED THE GLUCOSE REAGENT SYRINGE, CLEANED THE CUP AND REAGENT LINES, AND INSTALLED A NEW ELECTRODE. NO NEW INCIDENTS FOR GLUCOSE SEEN TO DATE SINCE REPAIRS WERE PERFORMED. ALTHOUGH PARTS WERE REPLACED, ROOT CAUSE IS UNKNOWN AT THIS TIME.

Description of Event or Problem · 1

A CUSTOMER REPORTED TO BECKMAN COULTER INC. (BCI) THAT THE UNICEL DXC 800 PRO SYNCHRON CHEMISTRY ANALYZER GENERATED ERRONEOUSLY LOW GLUCOSE (GLUCM) RESULTS FOR TEN (10) PATIENTS. THESE RESULTS WERE REPORTED OUT OF THE LAB. REPEAT TESTING ON THE SAME INSTRUMENT GENERATED HIGHER RESULTS. RESULTS ARE SHOWN. CUSTOMER CONFIRMED THERE WAS NO EFFECT ON PATIENT TREATMENT.

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