FDA Adverse Event Malfunction Summary report: N

SYNCHRON LXI 725 CLINICAL SYSTEM

MDR report key: 2427050 · Received January 25, 2012

Report

Report Number
2050012-2012-00270
Event Type
Malfunction
Date Received
January 25, 2012
Date of Event
December 26, 2011
Report Date
December 26, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JGJ
PMA / PMN Number
K023049
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE ISSUE WAS RESOLVED WITH THE HARDWARE REPAIRS PERFORMED BY THE FSE, INCLUDING THE REPLACEMENT OF THE DEFECTIVE TUBING. PLEASE NOTE THAT TWO ADDITIONAL MEDICAL DEVICE REPORTS WERE FILED BASED ON THE SAME SET OF EVENTS AS MEDWATCH #2050012-2012-00268 (BECKMAN COULTER, INC. REPORT IDENTIFIER (B)(4)) AND MEDWATCH #2050012-2012-00269 (BECKMAN COULTER, INC. REPORT IDENTIFIER (B)(4)). (B)(4).

Description of Event or Problem · 1

CUSTOMER CALLED TO REPORT THAT THE SYNCHRON LXI 725 CLINICAL SYSTEM GENERATED FALSELY HIGH MAGNESIUM RESULTS FOR ONE PATIENT SAMPLE. CUSTOMER STATED THAT THE RESULTS WERE NOT REPORTED OUTSIDE THE LABORATORY; THEREFORE, PATIENT TREATMENT WAS NOT AFFECTED. THE FIELD SERVICE ENGINEER (FSE) INSPECTED THE INSTRUMENT AND REPLACED THE CARTRIDGE CHEMISTRY (CC) SAMPLE PROBE, CC SAMPLE WASH COLLAR, AND BOTH CC REAGENT WASH COLLARS. THE FSE THEN PERFORMED ALIGNMENTS WITHOUT FINDING ANY ERRORS. NEXT, THE FSE REPLACED THE DEFECTIVE TUBING AND THE VACUUM PROBE ON THE CUVETTE WASH ASSEMBLY. FINALLY, THE FSE VERIFIED INSTRUMENT PERFORMANCE TO ENSURE THAT THE SERVICES PERFORMED EFFECTIVELY RESOLVED THE INSTRUMENT ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON LXI 725 CLINICAL SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JGJ BECKMAN COULTER, INC. LXI 725

Patients

Seq Age Sex Outcome Treatment
1