FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM

MDR report key: 2240235 · Received September 9, 2011

Report

Report Number
2122870-2011-03411
Event Type
Malfunction
Date Received
September 9, 2011
Date of Event
August 7, 2011
Report Date
August 9, 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
OR, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PATIENT SAMPLE WAS COLLECTED IN A LI HEPARIN PST TUBE AND CENTRIFUGED FOR 15 MINUTES AT 3200 RPM. SAMPLE APPEARANCE WAS NORMAL AT THE TIME OF ANALYSIS. THE LABORATORY'S STANDARD PROCEDURE IS TO SPIN DOWN THE SAMPLE, ASPIRATE THE SAMPLE AND PLACE IT IN A SEPARATE TUBE. THE SAMPLE IS THEN STORED IN THE REFRIGERATOR UNTIL ANALYSIS. QUALITY CONTROL RESULTS WERE WITHIN THE CUSTOMER'S ESTABLISHED RANGES DURING THE TIMEFRAME OF THE EVENT. A SYSTEM CHECK WAS PERFORMED ON (B)(6) 2011, WHICH FAILED THE SUBSTRATE PORTION. THE SUBSTRATE PORTION OF THE SYSTEM CHECK WAS REPEATED AND MET SPECIFICATIONS. THE CUSTOMER DECLINED SERVICE TO BE DISPATCHED BECAUSE PREVENTATIVE MAINTENANCE HAD JUST BEEN PERFORMED ON THE INSTRUMENT.

Description of Event or Problem · 1

A CUSTOMER REPORTED OBTAINING A TROPONIN (ACCUTNI) RESULT ON (B)(6) 2011 THAT WAS ABOVE THE AMI CUTOFF FOR ONE (1) PATIENT. THE RESULT WAS GENERATED ON A UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM, USED IN CONJUNCTION WITH ACCESS ACCUTNI REAGENT (LOT 110411) AND ACCESS ACCUTNI CALIBRATORS (LOT 018864). THE RESULT WAS REPORTED OUT OF THE LABORATORY. A PREVIOUS SAMPLE FROM THE SAME PATIENT ON THE PREVIOUS NIGHT YIELDED AN ACCUTNI RESULT OF 0.18 NG/ML. SUBSEQUENT TESTING ON THE SAME INSTRUMENT YIELDED RESULTS WITHIN THE RISK STRATIFICATION RANGE. THERE WERE NO REPORTS OF DEATH, INJURY, OR CHANGE TO PATIENT TREATMENT MADE IN CONNECTION WITH 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