FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2148235 · Received July 2, 2011

Report

Report Number
2050012-2011-02503
Event Type
Malfunction
Date Received
July 2, 2011
Date of Event
May 27, 2011
Report Date
May 31, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
DHR
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULT: ERRONEOUS RESULTS GENERATED. CONCLUSION: A DEFINITIVE ROOT CAUSE HAS NOT YET BEEN DETERMINED FOR THIS EVENT.

Description of Event or Problem · 1

THE CUSTOMER CONTACTED BECKMAN COULTER, INC. (BCI) TO REPORT ERRONEOUSLY HIGH RESULTS FOR RHEUMATOID FACTOR (RF) FOR 2 PATIENT SAMPLES ASSAYED ON THE UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER. THE PATIENT RESULTS WERE REPORTED OUT OF THE LABORATORY. THERE WAS NO REPORT OF PATIENT INJURY REQUIRING MEDICAL INTERVENTION OR CHANGE TO PATIENT TREATMENT ATTRIBUTED OR CONNECTED TO THIS EVENT. THE CUSTOMER REPORTED THAT HIGHER RF RESULTS WERE GENERATED WHEN USING RF REAGENT LOT # M009630 AND LOT # M010508. WHEN USING RF REAGENT LOT # M001791, RF RESULTS WERE < 20 IU/ML. THE CUSTOMER REPORTED THAT QUALITY CONTROL RESULTS WERE RECOVERING HIGH WHEN USING RF REAGENT LOT # M009630 AND LOT # M010508. WHILE RF REAGENT LOT # M009630 AND LOT # M010508 ARE CONSIDERED SUSPECT, A DEFINITIVE ROOT CAUSE HAS NOT YET BEEN DETERMINED FOR THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER DHR BECKMAN COULTER, INC.

Patients

Seq Age Sex Outcome Treatment
1 RF REAGENT