FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM

MDR report key: 2792390 · Received October 16, 2012

Report

Report Number
2122870-2012-01823
Event Type
Malfunction
Date Received
October 16, 2012
Date of Event
September 20, 2012
Report Date
September 20, 2012
Manufacturer
BECKMAN COULTER, INC.
Product Code
MMI
PMA / PMN Number
K060256
Removal / Correction Number
Z-0607-2011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

SERVICE WAS NOT DISPATCHED AS THE CUSTOMER DID NOT QUESTION SYSTEM PERFORMANCE. OPERATOR ERROR CONTRIBUTED TO THE EVENT.

Additional Manufacturer Narrative · 1

.

Description of Event or Problem · 1

AS PART OF BECKMAN COULTER MARKETING SURVEY PROGRAM (MSP), THE CUSTOMER REPORTED ONE ERRONEOUS TROPONIN I (ACCESS ACCUTNI) RESULT, FOR ONE PATIENT, INVOLVING THE UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM. IT WAS DETERMINED THE CUSTOMER INCORRECTLY LOADED THE REAGENT PACK ONTO THE REAGENT CAROUSEL. THE CUSTOMER STATED THE ERRONEOUS RESULT WAS RELEASED OUT OF THE LABORATORY. THERE HAS BEEN NO REPORT OF PATIENT CONSEQUENCE OR CHANGE IN PATIENT TREATMENT ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE MMI BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1