FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600 SYNCHRON SYSTEM

MDR report key: 2142185 · Received May 26, 2011

Report

Report Number
2050012-2011-01646
Event Type
Malfunction
Date Received
May 26, 2011
Date of Event
August 31, 2009
Report Date
August 31, 2009
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
Z-0863-2010
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

AN FSE (FIELD SERVICE ENGINEER) WAS DISPATCHED TO THE SITE TO TROUBLESHOOT AND MAKE REPAIRS, HOWEVER, NO CLEAR ROOT CAUSE WAS DETERMINED. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW OF COMPLAINTS CONDUCTED BETWEEN 01/01/2008 AND 10/23/2010 FOR ADDITIONAL REPORTABLE EVENTS.

Description of Event or Problem · 1

CUSTOMER REPORTED TO BECKMAN COULTER, INC. (BCI) ON (B)(4) 2009 THAT ERRONEOUSLY LOW SODIUM (NA) RESULTS WERE INTERMITTENTLY OBTAINED ON THEIR UNICEL DXC 600 INSTRUMENT. PRIOR TO EACH EVENT, THE ISE (ION-SELECTIVE ELECTRODE) SYSTEM WAS CALIBRATED AND NA QC (QUALITY CONTROL) RESULTS WERE WITHIN THE LAB'S ESTABLISHED RANGES. NO ERRONEOUS RESULTS WERE REPORTED OUT OF THE LABORATORY. THERE WAS NO IMPACT ON PT TREATMENT SINCE NO ERRONEOUS RESULTS WERE ISSUED OUT OF THE LAB.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK