FDA Adverse Event Malfunction Summary report: N

UNICEL DXI 600 ACCESS IMMUNOASSAY SYSTEM

MDR report key: 3974312 · Received August 1, 2014

Report

Report Number
2122870-2014-00555
Event Type
Malfunction
Date Received
August 1, 2014
Date of Event
July 9, 2014
Report Date
July 9, 2014
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K023764
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

IN CONCLUSION, THE LIKELY CAUSE OF THE EVENT IS ATTRIBUTED TO THE SAMPLE PROBE. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED SAMPLE PNP SYSTEM ERRORS INVOLVING THE UNICEL DXI 600 ACCESS IMMUNOASSAY SYSTEM. THERE WERE NO ERRONEOUS PATIENT RESULTS GENERATED ASSOCIATED WITH THIS EVENT. PATIENT CARE WAS NOT IMPACTED. A BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) ASSESSED THE INSTRUMENT AT THE FACILITY AND NOTED CARRYOVER ON THE SAMPLE PROBE. THE FSE REPLACED THE SAMPLE PROBE AND RESOLVED THE REPORTED ISSUE. NO FURTHER ISSUES WERE NOTED. THE INSTRUMENT WAS RETURNED TO NORMAL OPERATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
450102 UNICEL DXI 600 ACCESS IMMUNOASSAY SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1