FDA Adverse Event Malfunction Summary report: N

SYNCHRON LX 20 CLINICAL CHEMISTRY SYSTEM

MDR report key: 2411585 · Received January 11, 2012

Report

Report Number
2050012-2012-00018
Event Type
Malfunction
Date Received
January 11, 2012
Date of Event
December 14, 2011
Report Date
December 14, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K011213
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED TO BECKMAN COULTER, INC. (BEC) THAT THE SYNCHRON LX 20 CLINICAL CHEMISTRY SYSTEM (LX 20) GENERATED NUMEROUS RACK OUT OF RANGE ERRORS, CAUSING THE INSTRUMENT TO STOP. CUSTOMER REPORTED THAT THE LX 20 GENERATED BUNM RXN NOISE (BLOOD UREA NITROGEN REACTION NOISE) ERRORS. CUSTOMER REPORTED THAT THE LX 20 WAS LEAKING AN UNKNOWN FLUID FROM AN UNKNOWN AREA OF THE INSTRUMENT. CUSTOMER REPORTED THAT ERRONEOUS RESULTS WERE NOT GENERATED. THERE WAS NO REPORT OF ANY ADVERSE EVENT OR INJURY REQUIRING MEDICAL INTERVENTION OR PATIENT TREATMENT. BEC FIELD SERVICE ENGINEER (FSE) EVALUATED THE LX 20 AND DID NOT NOTICE ANY LEAKING. THE FSE EVALUATE THE LX 20 AND DID NOT OBSERVE RACK OUT OF RANGE ERRORS. THE FSE REPLACED THE BUN ELECTRODE CAPLOCK. THE FSE PERFORMED BUN CALIBRATION. THE FSE VERIFIED THE REPAIR WAS PERFORMED PER ESTABLISHED PROCEDURES. ROOT CAUSE IS UNKNOWN. CUSTOMER REPORTED THAT IT MAY HAVE BEEN RELATED TO USER ERROR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON LX 20 CLINICAL CHEMISTRY SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER, INC. LX 20 NA

Patients

Seq Age Sex Outcome Treatment
1