FDA Adverse Event Malfunction Summary report: N

OLYMPUS AU681-10E CLINICAL CHEMISTRY ANALYZER

MDR report key: 3243753 · Received July 23, 2013

Report

Report Number
9612296-2013-00097
Event Type
Malfunction
Date Received
July 23, 2013
Date of Event
July 2, 2013
Report Date
July 2, 2013
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K961274
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
RI, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

NO SAMPLE COLLECTION OR PREPARATION INFORMATION WAS SUPPLIED. THE CUSTOMER PROVIDED CALIBRATION AND QUALITY CONTROL (QC) DATA WHICH DO NOT INDICATE ANY PROBLEMS WITH THE CALIBRATIONS OR QC RECOVERY. A BEC FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE INSTRUMENT. THE FSE CLEANED ALL CUVETTES, PERFORMED PHOTOCELL, AND REPLACED THE SAMPLE WASH VALVE. THE CUSTOMER INDICATED THAT THERE HAVE NO MORE ERRATIC RECOVERY ISSUES SINCE THE VALVE WAS CHANGED.

Description of Event or Problem · 1

THE CUSTOMER CONTACTED BECKMAN COULTER (BEC) REPORTING THAT THE OLYMPUS AU681-10E CLINICAL CHEMISTRY ANALYZER GENERATED TWO (2) ERRONEOUSLY HIGH CALCIUM (CA) PATIENT RESULTS. THE SAMPLES WERE RERAN AND YIELDED RESULTS WITHIN NORMAL RANGE. THE ERRONEOUS RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. PATIENT DEMOGRAPHICS (AGE, DATE OF BIRTH, GENDER, AND WEIGHT) WERE NOT SUPPLIED BY THE CUSTOMER. THERE WERE NO REPORTS OF PATIENT INJURY REQUIRING MEDICAL INTERVENTION OR CHANGE TO PATIENT TREATMENT ATTRIBUTED TO OR CONNECTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
342617 OLYMPUS AU681-10E CLINICAL CHEMISTRY ANALYZER ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER AU681-10E NA

Patients

Seq Age Sex Outcome Treatment
1