FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM

MDR report key: 2240187 · Received September 9, 2011

Report

Report Number
2050012-2011-05100
Event Type
Malfunction
Date Received
September 9, 2011
Date of Event
August 9, 2011
Report Date
August 9, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JGS
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLES WERE ALL SERUM. A FIELD SERVICE ENGINEER (FSE) WENT ON-SITE AND FOUND A CRACK IN THE ELECTROLYTE INJECTION CUP (EIC) VALVE AND REPLACED IT. FSE ALSO REPLACED A LINE IN THE ISE SYSTEM AND VERIFIED INSTRUMENT PERFORMANCE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) STATING THAT SODIUM (NA) RESULTS WERE DRIFTING LOW ON PATIENT SAMPLES RUN ON THE UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEM. THE LABORATORY REPORTED OUT 3 LOW NA RESULTS. WHEN THE ISSUE WAS NOTICED, SAMPLES WERE REPEATED ON A DIFFERENT INSTRUMENT AND THE REPORTS WERE AMENDED. THE LABORATORY ONLY REPEATED NA AND DID NOT QUESTION POTASSIUM (K), CHLORIDE (CL), CALCIUM (CA) OR CO2 RESULTS. THERE WAS NO AFFECT TO PATIENT WITH REGARD TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER JGS BECKMAN COULTER INC. DXC 600 PRO NA

Patients

Seq Age Sex Outcome Treatment
1 77 YR