UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM
Report
- Report Number
- 2122870-2011-02674
- Event Type
- Malfunction
- Date Received
- August 5, 2011
- Date of Event
- July 4, 2011
- Report Date
- July 5, 2011
- Manufacturer
- BECKMAN COULTER, INC.
- Product Code
- JJE
- PMA / PMN Number
- K060256
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
PATIENT SAMPLES WERE COLLECTED IN GREINER PLASMA TUBES WITH A GEL SEPARATOR, CENTRIFUGED FOR 5 MINUTES AT 4000G. THE CUSTOMER NOTED THAT THE GREINER TUBES HAVE A NEW GEL FORMULATION AND THERE WERE VISIBLE CELLS WITHIN THE GEL. THE CUSTOMER STATED THAT THEY WILL SPEAK TO GREINER REGARDING THIS ISSUE. PER THE CUSTOMER SUPPLIED QC CHARTS, BOTH LEVELS OF ACCUTNI QC WERE WITHIN THE CUSTOMER'S ESTABLISHED RANGES PRIOR TO AND AFTER THE EVENT. PER THE CUSTOMER, A ROUTINE SYSTEM CHECK PERFORMED ON (B)(6) 2011 PASSED WITHIN INSTRUMENT SPECIFICATIONS. A BEC FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON (B)(6) 2011 FOR THE EVENT. THE FSE PERFORMED A HIGH SENSITIVITY SYSTEM CHECK WHICH PASSED WITHIN INSTRUMENT SPECIFICATIONS. THE FSE DID NOT NOTE ANY HARDWARE ISSUES WHICH WOULD HAVE CONTRIBUTED TO THIS EVENT. ALTHOUGH PRE-ANALYTICAL SAMPLE HANDLING MAY HAVE BEEN A CONTRIBUTING FACTOR TO THE EVENT, A DEFINITIVE ROOT CAUSE COULD NOT BE DETERMINED.
A CUSTOMER CONTACTED BECKMAN COULTER, INC. (BEC) TO REPORT OBTAINING TROPONIN (ACCUTNI) RESULTS WITHIN THE RISK STRATIFICATION RANGE FOR TWO (2) PATIENTS. THE RESULTS WERE GENERATED ON A UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM, USED IN CONJUNCTION WITH ACCESS ACCUTNI REAGENT (LOT 110411) AND ACCESS ACCUTNI CALIBRATOR (LOT 023153). THE RESULTS WERE NOT REPORTED OUT OF THE LAB. REPEAT ANALYSIS OF THE PATIENTS' SAMPLES ON THE SAME INSTRUMENT YIELDED RESULTS WITHIN THE NORMAL REFERENCE RANGE FOR BOTH PATIENTS. RESULTS ARE SHOWN. THE CUSTOMER DID NOT RECEIVE ANY REPORT OF PATIENT INJURY REQUIRING MEDICAL INTERVENTION OR CHANGE TO PATIENT TREATMENT ATTRIBUTED OR CONNECTED TO THIS EVENT.
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 | JJE | BECKMAN COULTER, INC. | DXC 600I | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |