FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM

MDR report key: 2142180 · Received May 26, 2011

Report

Report Number
2122870-2011-01145
Event Type
Malfunction
Date Received
May 26, 2011
Date of Event
September 27, 2009
Report Date
September 27, 2009
Manufacturer
BECKMAN COULTER, INC.
Product Code
MMI
PMA / PMN Number
K060256
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) PERFORMED A SYSTEM CHECK ON THE INSTRUMENT AND FOUND THAT THE INSTRUMENT MET SPECIFICATIONS. ADDITIONALLY, IT WAS FOUND THAT THREE LEVELS OF QUALITY CONTROL (QC) CHECKS WERE PERFORMED THE DAY OF THE EVENT AND THEY ALL RECOVERED WITHIN THE CUSTOMER'S ESTABLISHED RANGES. NO CLEAR ROOT CAUSE FOR THIS EVENT COULD BE IDENTIFIED. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW OF COMPLAINTS CONDUCTED BETWEEN (B)(4) 2008 TO (B)(4) 2010 FOR ADDITIONAL REPORTABLE EVENTS.

Description of Event or Problem · 1

CUSTOMER REPORTED TO BECKMAN COULTER, INC. (BCI) THAT AN ERRONEOUSLY HIGH TROPONIN (ACCU-TNI) RESULT WAS OBTAINED ON THE UNICEL DXC 600I INSTRUMENT. THE CUSTOMER RE-RAN THE PT SAMPLE AND THE ACCU-TNI RESULT WAS WITHIN THE EXPECTED RANGE. THE RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. THERE IS NO REPORT OF ANY ADVERSE EVENT OR SERIOUS INJURY RELATED TO THIS EVENT AND THERE WAS NO CHANGE TO PT TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM MMI BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNK ACCESS ACCUTNI