FDA Adverse Event Malfunction Summary report: N

AU2700 CLINICAL CHEMISTRY ANALYZER

MDR report key: 2121848 · Received May 20, 2011

Report

Report Number
2050012-2011-01306
Event Type
Malfunction
Date Received
May 20, 2011
Date of Event
February 3, 2010
Report Date
March 23, 2010
Manufacturer
BECKMAN COULTER MISHIMA K.K.
Product Code
JJE
PMA / PMN Number
K003721
Removal / Correction Number
2050012-09/01/2010-028C
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ERRONEOUS CREATININE DATA WERE GENERATED ON FIVE DIFFERENT DAYS. THIS IS ONE OF 5 REPORTS RELATED TO 5 EVENTS WHICH OCCURRED ON 5 DIFFERENT DAYS, ALL ASSOCIATED WITH A SINGLE MALFUNCTION REPORT. THIS MDR IS RELATED TO THE ORIGINAL MDR 2050012-2010-00233 AND THE FOLLOWING ADDITIONAL MDRS: MDR#: 2050012-2011-01303, MDR#: 2050012-2011-01304, MDR#: 2050012-2011-01305. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW OF COMPLAINTS CONDUCTED BETWEEN (B)(6) 2008 TO (B)(6) 2010 FOR ADDITIONAL REPORTABLE EVENTS.

Description of Event or Problem · 1

THE CUSTOMER REPORTED TO BECKMAN COULTER, INC. (BCI) THAT THEY OCCASIONALLY OBTAIN ERRONEOUS RESULTS ON THE AU2700 CLINICAL CHEMISTRY ANALYZER FOR CREATININE WHICH HAVE ABNORMAL REACTION PROFILES BUT THAT THE RESULTS ARE NOT FLAGGED BY THE SYSTEM. THE CUSTOMER NORMALLY CHECKS ALL CREATININE REACTION MONITORS DAILY AND ANY SAMPLES WITH AN ABNORMAL CURVE (ERRONEOUSLY LOW OR HIGH) ARE REPEATED. THE RERUN DATA WERE REPORTED OUT OF THE LABORATORY. ALTHOUGH THERE IS NO INDICATION OF ANY ADVERSE PATIENT CONSEQUENCE, IT IS NOT KNOWN IF ANY CHANGES WERE MADE TO PATIENT TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AU2700 CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER MISHIMA K.K. NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNK CREATININE