FDA Adverse Event Malfunction Summary report: N

AU680 CLINICAL CHEMISTRY ANALYZER

MDR report key: 4171581 · Received October 14, 2014

Report

Report Number
9612296-2014-00129
Event Type
Malfunction
Date Received
October 14, 2014
Date of Event
September 23, 2014
Report Date
September 24, 2014
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K961274
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

(B)(6). A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER'S SITE. THE FSE EVALUATED THE INSTRUMENT AND REPLACED THE MIXER MOTOR AND REFERENCE BLOCK TO RESOLVE THE ISSUE. THE FSE PERFORMED SEVERAL PRECISION RUNS AND OBTAINED RESULTS WHICH WERE WITHIN SPECIFICATIONS.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT ERRONEOUSLY HIGH URINE ELECTROLYTE RESULTS WERE GENERATED FOR MULTIPLE PATIENTS OVER TWO (2) DAYS FROM THE AU680 CLINICAL CHEMISTRY ANALYZER. THIS REPORT REFERENCES THE EVENT WHICH OCCURRED ON (B)(6) 2014; PLEASE REFER TO MEDWATCH REPORT #9612296-2014-00128 FOR THE REPORT OF THE EVENT WHICH OCCURRED ON (B)(6) 2014. THE CUSTOMER STATED THAT PATIENT RESULTS WERE RELEASED OUTSIDE THE LABORATORY. HOWEVER, THERE WAS NO REPORT OF ANY CHANGE OR AFFECT TO PATIENT TREATMENT IN CONNECTION WITH THIS EVENT. THE CUSTOMER STATED THAT QUALITY CONTROL (QC) WAS PERFORMED DAILY AND RECOVERY WAS WITHIN THE ESTABLISHED LIMIT OF THE LABORATORY. THE CUSTOMER ALSO INDICATED THAT MAINTENANCE WAS LAST PERFORMED ON THE ANALYZER ON SEPTEMBER 23, 2014.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
649937 AU680 CLINICAL CHEMISTRY ANALYZER ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER AU680 WITH ISE MODULE NA

Patients

Seq Age Sex Outcome Treatment
1