FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 660I SYNCHRON® ACCESS® CLINICAL SYSTEM

MDR report key: 2961976 · Received February 14, 2013

Report

Report Number
2050012-2013-00084
Event Type
Malfunction
Date Received
February 14, 2013
Date of Event
January 22, 2013
Report Date
January 22, 2013
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K060256
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

QC PRIOR TO THE EVENT WAS WITHIN THE LAB-ESTABLISHED RANGES. QC RUN AFTER THE HIGH RESULTS WERE NOTICED WAS OUT OF RANGE HI, >2 S.D. (APPROXIMATELY THE SAME MAGNITUDE AS THE PATIENT RESULTS). MAINTENANCE AND RECALIBRATION OF THE ASSAY DID NOT RESOLVE THE ISSUE. HOTLINE HAD THE CUSTOMER REPLACE THE CALC ELECTRODE TIP. THIS RESOLVED THE ISSUE AND SERVICE WAS NOT INITIATED FOR THIS EVENT. THE CALC ELECTRODE TIP WAS NOT DUE TO BE REPLACED FOR ANOTHER FORTY FOUR (44) DAYS. FAILURE MODE OF THIS EVENT WAS THE CALC ELECTRODE TIP.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER (BEC) TO REPORT THAT THE UNICEL DXC 660I SYNCHRON ACCESS CLINICAL SYSTEM GENERATED FALSE HIGH CALC (CALCIUM) RESULTS FOR ELEVEN (11) PATIENT SAMPLES. THE RESULTS WERE REPORTED OUT OF THE LAB. WHEN THE ISSUE WAS NOTICED, THE SAMPLES WERE RERUN FOR CALC ON ANOTHER ANALYZER IN THE CUSTOMER LAB AND THE REPORTS WERE AMENDED. NEITHER DEATH NOR INJURY WAS REPORTED IN CONNECTION TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
65640 UNICEL® DXC 660I SYNCHRON® ACCESS® CLINICAL SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER DXC 660I NA

Patients

Seq Age Sex Outcome Treatment
1