FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM

MDR report key: 2122012 · Received May 24, 2011

Report

Report Number
2050012-2011-01906
Event Type
Malfunction
Date Received
May 24, 2011
Date of Event
April 15, 2010
Report Date
May 24, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
MMI
Removal / Correction Number
Z-2441-42-2010
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SAMPLE WAS SERUM. QC AND PRECISION CHECKS WERE ACCEPTABLE. A FIELD SERVICE ENGINEER (FSE) WAS ON-SITE AND RAN A CENTRIFUGE TUBE ALIQUOTTER (CTA) CARRYOVER TEST WHICH FAILED. FSE THEN REPLACED THE CTA SAMPLE PROBE AND PERFORMED ALIGNMENTS AFTER WHICH A REPEAT OF THE CARRYOVER TEST PASSED.

Description of Event or Problem · 1

CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI) REGARDING FALSE HIGH TROPONIN (ACCUTNI) RESULTS. THE RESULTS FOR THIS EVENT WERE REPORTED ON MDR# 2050012-2010-00292. THE TEST RESULTS ARE FOR THE MALFUNCTION DATED (B)(6) 2010. THE RESULTS WERE NOT RELEASED FROM THE LAB AND THE CUSTOMER DID NOT REPORT ANY SERIOUS INJURY OR DEATH. THE CUSTOMER REDACTED THE PT IDENTIFIERS SUCH AS DOB OR AGE AT TIME OF EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER, PRODUCT CODE: JJE MMI BECKMAN COULTER, INC.

Patients

Seq Age Sex Outcome Treatment
1