FDA Adverse Event Malfunction Summary report: N

COULTER LH 750 HEMATOLOGY ANALYZER

MDR report key: 2160265 · Received June 2, 2011

Report

Report Number
1061932-2011-00543
Event Type
Malfunction
Date Received
June 2, 2011
Date of Event
August 25, 2008
Report Date
September 8, 2008
Manufacturer
BECKMAN COULTER, INC.
Product Code
GKZ
PMA / PMN Number
K061574
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

FIELD SERVICE INFORMATION WAS NOT AVAILABLE. RAW DATA ANALYSIS WAS CONDUCTED AND DETERMINED THAT THE WBC HISTOGRAMS SHOWED SEVERE INTERFERENCE PATTERNS. ROOT CAUSE WAS DETERMINED TO BE UNLYSED RED BLOOD CELLS IN THE WBC HISTOGRAM CAUSING SEVERE INTERFERENCE. PRODUCT LABELING STATES THAT INSTRUMENT GENERATED MESSAGES ALERT THE OPERATOR TO FURTHER REVIEW THE SAMPLE. LYSE RESISTANT RED CELLS ARE LISTED AS KNOWN INTERFERING SUBSTANCES FOR THE WBC PARAMETER. THIS REPORTABLE EVENT WAS IDENTIFIED DURING A RETROSPECTIVE REVIEW CONDUCTED BETWEEN (B)(4), 2008 AND (B)(4), 2010 OF COMPLAINTS FOR ADDITIONAL REPORTABLE EVENTS. THIS MDR REPRESENTS EVENT 2 OF 3 REPORTED BY THIS CUSTOMER. THIS MDR IS RELATED TO THE FOLLOWING MDRS THAT HAVE BEEN REPORTED: MDR 1061932-2011-00541, 1061932-2011-00544.

Description of Event or Problem · 1

ON (B)(6) 2008, CUSTOMER REPORTED ELEVATED AND INCONSISTENT UNCORRECTED WBC (WHITE BLOOD COUNT) FOR A SPECIFIC SAMPLE WHEN USING THE COULTER LH 750 HEMATOLOGY ANALYZER. THE TEST RESULTS WERE GENERATED ON (B)(6) 2008 AND WERE FLAGGED WITH INSTRUMENT GENERATED MESSAGES FOR THE WBC PARAMETER. THE WBC TEST RESULTS WERE COMPARABLE TO A MANUAL COUNT OF 9.0 X 10 TO THE 3RD POWER CELLS/UL. THE MANUAL COUNT WAS REPORTED AS CORRECT. ERRONEOUS RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. NO REPORTS OF DEATH OR SERIOUS INJURY, AND NO AFFECT TO PATIENT TREATMENT AS A RESULT OF THIS EVENT. THIS EVENT REPRESENTS EVENT 2 OF 3 EVENTS REPORTED BY THIS CUSTOMER FOR THE SAME PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COULTER LH 750 HEMATOLOGY ANALYZER GKZ BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNK