FDA Adverse Event Injury Summary report: N

UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM

MDR report key: 2165814 · Received July 17, 2011

Report

Report Number
2122870-2011-02310
Event Type
Injury
Date Received
July 17, 2011
Date of Event
June 14, 2011
Report Date
June 14, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
MMI
PMA / PMN Number
K060256
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

QC WAS WITHIN THE CUSTOMER'S ESTABLISHED RANGES DURING THE EVENT. A SYSTEM CHECK PERFORMED ON (B)(4) 2011 MET SPECIFICATIONS. BEC SERVICE WAS ON SITE ON (B)(4) 2011 AND PERFORMED A PREVENTIVE MAINTENANCE. ALL VERIFICATION TESTING MET SPECIFICATIONS. A CLEAR ROOT CAUSE COULD NOT BE DETERMINED FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER, INC. (BEC) TO REPORT OBTAINING IMPRECISE TROPONIN I (ACCUTNI) RESULTS ABOVE THE AMI CUTOFF FOR ONE (1) PATIENT'S SAMPLE. THE RESULT WAS GENERATED ON A UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM USING ACCUTNI REAGENT LOT 023755 AND ACCESS ACCUTNI CALIBRATOR LOT 070105. THE RESULT WAS REPORTED OUT OF THE LAB. THE PATIENT WAS TRANSFERRED TO AN ALTERNATE HOSPITAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER FOR CLINICAL USE MMI BECKMAN COULTER, INC. DXC 600I NA

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization