FDA Adverse Event Malfunction Summary report: N

SYNCHRON CX5CE CLINICAL ANALYZER

MDR report key: 2497711 · Received March 20, 2012

Report

Report Number
2050012-2012-00734
Event Type
Malfunction
Date Received
March 20, 2012
Date of Event
February 17, 2012
Report Date
February 21, 2012
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K926060
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PLEASE NOTE THAT THREE ADDITIONAL MEDICAL DEVICE REPORTS WERE FILED FOR THE SAME INSTRUMENT ISSUE AS:MDR #2050012-2012-00733 (BECKMAN COULTER, INC. REPORT IDENTIFIER (B)(4)) FOR RESULTS GENERATED ON (B)(4) 2012, MDR #2050012-2012-00735 (BECKMAN COULTER, INC. REPORT IDENTIFIER (B)(4)) FOR RESULTS GENERATED ON (B)(4) 2012, ANDMDR #2050012-2012-00736 (BECKMAN COULTER, INC. REPORT IDENTIFIER (B)(4)) FOR RESULTS GENERATED ON (B)(4) 2012.(NOTE: THE BECKMAN COULTER, INC. IDENTIFIER FOR THIS REPORT IS (B)(4).)

Description of Event or Problem · 1

CUSTOMER CALLED TO REPORT THAT THE SYNCHRON CX5CE CLINICAL ANALYZER INTERMITTENTLY GENERATED ERRONEOUS SODIUM RESULTS. THE SAMPLES WERE RE-RUN AFTER THE SYSTEM WAS RECALIBRATED, AND THE RESULTS WERE NOT REPORTED OUT OF THE LABORATORY; THEREFORE, PATIENT TREATMENT WAS NOT AFFECTED. THE FIELD SERVICE ENGINEER (FSE) INSPECTED THE INSTRUMENT AND REPLACED THE SODIUM MEASURING AND REFERENCE ELECTRODES. THE FSE THEN VERIFIED INSTRUMENT PERFORMANCE TO ENSURE THAT THE SERVICES PERFORMED EFFECTIVELY RESOLVED THE INSTRUMENT ISSUE. CUSTOMER HAS NOT CALLED BACK TO REPORT ANY FURTHER ISSUES RELATING TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON CX5CE CLINICAL ANALYZER ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER, INC. CX5CE

Patients

Seq Age Sex Outcome Treatment
1