FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM

MDR report key: 2173461 · Received July 23, 2011

Report

Report Number
2050012-2011-03401
Event Type
Malfunction
Date Received
July 23, 2011
Date of Event
June 19, 2011
Report Date
June 19, 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 WAS WITHIN THE ESTABLISHED RANGES BEFORE THE EVENT. THE CUSTOMER CHECKED THE SAMPLE FOR POSSIBLE INTERFERENCE. SERVICE TROUBLESHOT WITH THE CUSTOMER OVER THE PHONE AND HAD THE CUSTOMER FLUSH THE SAMPLE PROBE. THE CUSTOMER DID NOT REPORT ANY OTHER ISSUES SINCE THEN.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) IN REGARDS TO AN ERRONEOUSLY HIGH ASPARTATE AMINOTRANSFERASE (AST) RESULT OF 138 IU/L GENERATED BY UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER FOR ONE PATIENT'S PLASMA SAMPLE. THE RESULT WAS NOT REPORTED OUT OF THE LABORATORY. AST TEST PERFORMED PREVIOUSLY ON THE PATIENT'S SERUM SAMPLE PRODUCED A LOWER RESULT OF 20 IU/L. THE REPEAT TESTING PERFORMED ON BOTH PLASMA AND SERUM SAMPLES PRODUCED LOWER RESULTS OF 25 AND 23/21 IU/L, RESPECTIVELY. THERE WAS NO CHANGE TO PATIENT TREATMENT OR DIAGNOSIS.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1