FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM

MDR report key: 3631526 · Received February 18, 2014

Report

Report Number
2050012-2014-00097
Event Type
Malfunction
Date Received
February 18, 2014
Date of Event
January 29, 2014
Report Date
January 29, 2014
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K060256
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THERE WERE SEVERAL SERVICE VISITS TO THE SITE. THE FIELD SERVICE ENGINEERS (FSE) REPLACED MULTIPLE HARDWARE COMPONENTS AND PERFORMED MULTIPLE SERVICE TASKS TO RESOLVE THE ISSUE. ON (B)(4) 2014, A FIELD SERVICE ENGINEER (FSE) FOUND THE CAP PIERCER (255590) WAS NOT DISPENSING AUTO GLOSS AND ORDERED THE CAP PIERCER COMPLETE ASSEMBLY FOR REPLACEMENT. HE ALSO REPLACED REAGENT PROBE B (A15931) AND THE TRICONTINENT SYRINGE (A41599) FOR THE GLUCOSE CUP MODULE. ON (B)(4) 2014, ANOTHER FSE REPLACED THE CAP PIERCER (255590). THE FSE ALSO REPLACED BOTH OF THE SAMPLE PROBES (389375), THE 3 WAY T-VALVE (758419) AND THE HAMILTON A/B VALVE (970835). FINALLY, THE FSE VERIFIED THE SYSTEM PERFORMANCE AND THE ISSUE WAS RESOLVED. (B)(4).

Description of Event or Problem · 1

A CUSTOMER REPORTED THEIR DXC600I INSTRUMENT GENERATED MULTIPLE ERRONEOUS RESULTS ON ONE PATIENT SAMPLE. THE ERRONEOUS RESULTS WERE NOT RELEASED TO THE PATIENT FILE, BUT THEY WERE VERBALLY REPORTED TO THE NURSING STATION. THE TECHNOLOGIST REALIZED THE RESULTS WERE NOT CORRECT AND CALLED THE NURSING UNIT BACK RIGHT AWAY. THE ERRONEOUS RESULTS DID NOT AFFECT PATIENT TREATMENT. OTHER SAMPLE RESULTS WERE OK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
101358 UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1