FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2132101 · Received June 16, 2011

Report

Report Number
2050012-2011-02212
Event Type
Malfunction
Date Received
June 16, 2011
Date of Event
May 16, 2011
Report Date
May 17, 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
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BCI REVIEW OF THE CUSTOMER'S QC CHARTS SHOWS GENERAL IMPRECISION FOR NA AND CL PRIOR TO THE EVENT. THE RESULTS WERE WITHIN THE LABORATORY ESTABLISHED RANGES, HOWEVER, THE LAB'S RANGES ARE WIDE. A FIELD SERVICE ENGINEER (FSE) WENT ON-SITE AND FOUND THAT THE RATIO PUMP WAS CRACKED AND INTRODUCING AIR INTO THE LINES. FSE REPLACED THE RATIO PUMP AND VERIFIED PERFORMANCE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING LOW ANION GAPS GENERATED BY THE UNICEL DXC 800 PRO SYNCHRON CHEMISTRY ANALYZER. THE CUSTOMER COULD NOT STATE IF THE ISSUE WAS CAUSED BY SODIUM (NA), CHLORIDE (CL) OR CO2. NO ERRONEOUS RESULTS WERE REPORTED OUTSIDE OF THE LABORATORY. WHEN THE ANION GAP WAS LOW, THE SAMPLES WERE REPEATED AND RESULTS WERE REPORTED OUT. THE CUSTOMER COULD NOT PROVIDE HOW MANY SAMPLES WERE AFFECTED, WHICH ANALYTE CAUSED THE ISSUE OR THE MAGNITUDE OF THE DIFFERENCE.

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