FDA Adverse Event Malfunction Summary report: N

UNICEL DXH 800 COULTER CELLULAR ANALYSIS SYSTEM

MDR report key: 3833896 · Received May 27, 2014

Report

Report Number
1061932-2014-01192
Event Type
Malfunction
Date Received
May 27, 2014
Date of Event
April 30, 2014
Report Date
April 30, 2014
Manufacturer
BECKMAN COULTER
Product Code
GKZ
PMA / PMN Number
K081930
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ON (B)(4) 2014, THE FIELD SERVICE ENGINEER (FSE) EVALUATED THE INSTRUMENT AND DETERMINED THE STABILISE PUMP SHOULD BE REPLACED. HE REPLACED THE PUMP, RESOLVING THE ISSUE.

Description of Event or Problem · 1

THE CUSTOMER REPORTED ERRONEOUS DIFFERENTIAL RESULTS WERE GENERATED FOR A SINGLE PATIENT SAMPLE WHEN USING THE UNICEL DXH 800 COULTER CELLULAR ANALYSIS SYSTEM. THE ERRONEOUS DIFFERENTIAL RESULTS DID NOT HAVE AN INSTRUMENT GENERATED FLAG FOR THE PRESENCE OF BLAST (IMMATURE) CELLS. THE ERRONEOUS TEST RESULTS, AND LACK OF AN INSTRUMENT GENERATED FLAG, WERE COMPARED TO TEST RESULTS AND FLAGGING OBTAINED WHEN THE PATIENT'S SAMPLE WAS RETESTED ON TWO ADDITIONAL UNICEL DXH 800 COULTER CELLULAR ANALYSIS SYSTEMS. THESE RETEST RESULTS WERE DETERMINED TO BE CORRECT. THE ERRONEOUS DIFFERENTIAL TEST RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. THE LABORATORY PERFORMED A MANUAL DIFFERENTIAL AND REPORTED THOSE RESULTS. THERE WAS NO DEATH, INJURY OR AFFECT TO USER OR PATIENT TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
311550 UNICEL DXH 800 COULTER CELLULAR ANALYSIS SYSTEM COUNTER, DIFFERENTIAL CELL GKZ BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1