FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 3103653 · Received May 9, 2013

Report

Report Number
2050012-2013-00329
Event Type
Malfunction
Date Received
May 9, 2013
Date of Event
April 9, 2013
Report Date
April 10, 2013
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER INDICATED THAT QUALITY CONTROL (QC) WAS ACCEPTABLE BEFORE THE EVENT, AND OUT OF SPECIFICATIONS AFTER THE EVENT. THE CUSTOMER NOTICED THAT THE SCREWS FOR THE SYRINGE PUMP ASSEMBLY WERE NOT TIGHTENED DOWN. THIS CAUSED THE SYRINGE TO NOT MOVE PROPERLY WITHIN THE DRIVE. NO LEAKS WERE OBSERVED BY THE CUSTOMER. THE CUSTOMER WAS ABLE TO RESOLVE THE ISSUE BY TIGHTENING THE SCREWS. SERVICE WAS NOT DISPATCHED FOR THIS EVENT. INSTRUMENT IS CURRENTLY RUNNING WITHIN SPECIFICATION. FAILURE MODE IS RELATED TO HARDWARE AND ISSUE WAS RESOLVED BY CUSTOMER PERFORMING REPAIRS.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER (BEC) REPORTING THAT THE UNICEL DXC 800 PRO SYNCHRON CHEMISTRY ANALYZER WAS GENERATING FALSE LOW PATIENT RESULTS FOR MULTIPLE CARTRIDGE CHEMISTRY (CC) ANALYTES. THE CUSTOMER PROVIDED THE DATA FOR TWENTY-NINE (29) PATIENT SAMPLES WITH DISCREPANT RESULTS FOR TRIGLYCERIDES, CHOLESTEROL AND HIGH DENSITY LIPOPROTEIN DEFICIENCY (HDLD) ANALYTES. INCORRECT RESULTS WERE REPORTED OUT OF THE LABORATORY. NO LEAKING WAS REPORTED. PATIENT TREATMENT WAS NOT IMPACTED IN CONNECTION TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
203542 UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER DXC 800 PRO NA

Patients

Seq Age Sex Outcome Treatment
1