FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM

MDR report key: 2143679 · Received June 29, 2011

Report

Report Number
2050012-2011-02763
Event Type
Malfunction
Date Received
June 29, 2011
Date of Event
June 2, 2011
Report Date
June 2, 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
MO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC PRIOR TO AND AFTER THE EVENT WAS WITHIN THE LAB'S ESTABLISHED RANGES. A FIELD SERVICE ENGINEER (FSE) WENT ON-SITE AND FOUND LEAKING LINES ON THE FLOWCELL. THE FSE CLEANED UP THE LEAK, REPLACED LINES AND VERIFIED PERFORMANCE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) STATING THE UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEM GENERATED LOW ANION GAPS. NO RESULTS WERE REPORTED OUTSIDE OF THE LABORATORY. THE CUSTOMER PROVIDED 7 PATIENT PRINTOUTS. OF THOSE SAMPLES, ONLY 1 SAMPLE SHOWED A DIFFERENCE IN CO2 RECOVERY THAT EXCEEDED ASSAY PRECISION CLAIMS. ANY DIFFERENCES IN NA, CL OR CO2 FOR OTHER SAMPLES WERE WITHIN THE PRECISION OF THE ASSAY. THERE WAS NO AFFECT TO PATIENT WITH REGARD TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1