FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600 SYNCHRON SYSTEM

MDR report key: 2264198 · Received September 26, 2011

Report

Report Number
2050012-2011-05612
Event Type
Malfunction
Date Received
September 26, 2011
Date of Event
August 28, 2011
Report Date
August 28, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

BEC FIELD SERVICE ENGINEER (FSE) FOUND THE CONTROL ISSUE WAS CAUSED BY THE CARTRIDGE CHEMISTRY SAMPLE PROBE FAILURE. THE FSE REPLACED THE MANIFOLD VALVE, THE PROBE AND THE WASH COLLAR. THIS IS ONE OF TWO REPORTS RELATED TO TWO EVENTS THAT OCCURRED ON TWO DIFFERENT DAYS. THIS MDR IS RELATED TO MDR# 2050012-2011-05614.

Description of Event or Problem · 1

CUSTOMER REPORTED TO BECKMAN COULTER, INC. (BEC) ON (B)(6), 2011 THAT REAGENT PROBE B OF THE UNICEL DXC 600 SYNCHRON SYSTEM IS LEAKING WITH DILUTED WASH. CUSTOMER REPORTED THAT THERE WERE SPORADIC CUVETTES NOT PASSING H20 BLANKS AND COLLEGE OF AMERICAN PATHOLOGIST (CAP) BIAS WITH ASPARTATE AMINOTRANSFERASE (AST) AND ALAININE AMINOTRANSFERASE (ALT). TO RESOLVE THE ISSUE, CUSTOMER DECIDED TO FLUSH ONE OF THE TUBES FROM THE WASH CONCENTRATE BOTTLE. CUSTOMER REPORTED THAT PATIENT SAMPLES HAVE NOT BEEN RUN AS THE QUALITY CONTROL RESULTS WERE NOT SATISFACTORY. THERE WERE NO ERRONEOUS RESULTS GENERATED BY THE INSTRUMENT. THERE WAS NO REPORT OF ANY ADVERSE EVENT OR INJURY REQUIRING MEDICAL INTERVENTION OR PATIENT TREATMENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1