FDA Adverse Event Malfunction Summary report: N

SYNCHRON LX 20 CLINICAL CHEMISTRY SYSTEM

MDR report key: 2494755 · Received March 16, 2012

Report

Report Number
2050012-2012-00672
Event Type
Malfunction
Date Received
March 16, 2012
Date of Event
February 18, 2012
Report Date
February 20, 2012
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K011213
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

EVALUATION CODES - RESULTS CODE - (OTHER): WIPER.

Description of Event or Problem · 1

CUSTOMER REPORTED TO BECKMAN COULTER, INC. (BEC) THAT THE SYNCHRON LX 20 CLINICAL CHEMISTRY SYSTEM (LX 20) GAVE MIXER SPEED ERRORS AND THE MIXER BROKE. CUSTOMER REPORTED THAT THE LX 20 GENERATED ERRONEOUS RESULTS. CUSTOMER REPORTED THAT NINE ERRONEOUS RESULTS WERE REPORTED OUT OF THE LABORATORY. CUSTOMER REPORTED THAT TWO ERRONEOUS RESULTS WERE AMENDED. THERE WAS NO REPORT OF ANY ADVERSE EVENT OR INJURY REQUIRING MEDICAL INTERVENTION OR PATIENT TREATMENT. BEC FIELD SERVICE ENGINEER (FSE) FOUND THE WIPER FOR THE WASH STATION WAS NOT PRESENT. THE FSE FOUND THE WIPER WAS STUCK IN ONE OF THE CUVETTES. THE FSE REPLACED THE MIXER AND THE WIPER.

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