FDA Adverse Event Malfunction Summary report: N

SYNCHRON LX 20 CLINICAL CHEMISTRY SYSTEM

MDR report key: 2427620 · Received January 25, 2012

Report

Report Number
2050012-2012-00198
Event Type
Malfunction
Date Received
January 25, 2012
Date of Event
December 29, 2011
Report Date
December 29, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K011213
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

BEC IDENTIFIER FOR THIS COMPLAINT IS (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED TO BECKMAN COULTER, INC. (BEC) THAT THERE WAS FLUID UNDER REAGENT PROBE B OF THE SYNCHRON LX 20 CLINICAL CHEMISTRY SYSTEM (LX 20). CUSTOMER REPORTED THAT THE LX 20 DISPLAYED CARTRIDGE CHEMISTRY (CC) SYRINGE MOTION ERRORS AND CUVETTE NOT DRY BEFORE REAGENT INJECT ERRORS. 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) FOUND LOW REAGENT LEVEL IN ALL CUP MODULES AND OVERFLOWS IN THE ELECTROLYTE INJECTION CUP. THE FSE REPLACED THE SMART MODULE. THE FSE PERFORMED MODULAR CHEMISTRY PROBE ALIGNMENTS. THE FSE PERFORMED CALIBRATION AND QUALITY CONTROL AND DID NOT NOTICE ANY ERRORS.

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