FDA Adverse Event Malfunction Summary report: N

AU680 CLINICAL CHEMISTRY ANALYZER

MDR report key: 21749126 · Received April 1, 2025

Report

Report Number
9612296-2025-00663
Event Type
Malfunction
Date Received
April 1, 2025
Date of Event
March 6, 2025
Report Date
April 1, 2025
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
UDI-DI
14987666540725
PMA / PMN Number
K961274
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE TO EVALUATE THE AU680 CLINICAL CHEMISTRY ANALYZER. THE FSE INSPECTED THE ANALYZER AND OBSERVED THAT ISE CALIBRATION VALUES WERE LOW AND OBSERVED BUBBLES ON THE INSTRUMENT. THE FSE READJUSTED THE J NOZZLES AS PART OF TROUBLESHOOTING MEASURE. THE FSE DETERMINED MULTIPLE HARDWARE MALFUNCTIONED. THE FSE REPLACED THE ISE (ION SELECTIVE ELECTRODE) BUFFER VALVE AND REAGENT (R) SYRINGE TO RESOLVE THE ISSUE. DUE TO MULTIPLE INTERVENTIONS PERFORMED, A SPECIFIC PART CANNOT BE IDENTIFIED AS THE SOLE CONTRIBUTOR OF THIS EVENT. A FAILURE OF ONE OR MORE OF THE REPLACED COMPONENTS OR A COMBINATION THEREOF IS THE LIKELY CAUSE OF THIS EVENT. THE FSE PERFORMED SYSTEM VERIFICATION SUCCESSFULLY WITHOUT ISSUES. THE SYSTEM RETURNED TO NORMAL OPERATION. SECTION A2, A4, AND A5: INFORMATION NOT PROVIDED BY CUSTOMER. THE BECKMAN COULTER IDENTIFIER IS CASE -(B)(4).

Description of Event or Problem · 0

THE CUSTOMER REPORTED GENERATION OF FALSE ISE PATIENT RESULTS WHICH INCLUDED SODIUM (NA) AND POTASSIUM (K) WITH "J" AND "K" FLAGS INVOLVING THE AU680 CLINICAL CHEMISTRY ANALYZER. THERE WAS NO REPORT OF CHANGE TO TREATMENT, INJURY, OR DEATH ASSOCIATED TO THIS EVENT. THE CUSTOMER PROVIDED PATIENT DATA FOR THREE (3) PATIENTS. NOTE: PER BECKMAN COULTER AU680 CHEMISTRY ANALYZER USER GUIDE PNB04779AB, CHAPTER 7, FLAGS "J" FLAG REPRESENTS RESULT IS HIGHER THAN REPEAT DECISION RANGE. "K" FLAG REPRESENTS RESULT IS LOWER THAN THE REPEAT DECISION RANGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2624334 AU680 CLINICAL CHEMISTRY ANALYZER ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER, INC. AU681-10E CHEMISTRY ANALYZER AU680 WITH ISE 14987666540725

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown