FDA Adverse Event
Other
Summary report: N
SYNCHRON LX I 725 CLINICAL SYSTEM
MDR report key: 658010
·
Received December 22, 2005
Report
- Report Number
- 2050012-2005-00036
- Event Type
- Other
- Date Received
- December 22, 2005
- Date of Event
- November 23, 2005
- Report Date
- December 22, 2005
- Manufacturer
- BECKMAN COULTER, INC.
- Product Code
- JJE
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
A CUSTOMER CONTACTED BECKMAN COULTER REGARDING FALSELY ELEVATED CARBAMAZEPINE (CARB) RESULT THAT WAS GENERATED BY THE SYNCHRON LX I 725 INSTRUMENT. THE INITIAL CARB RESULT WAS ">85 UMOL/L." THE RESULT WAS REPORTED OUT OF THE LAB, BUT INDICATED THAT IS BEING CHECKED BY DILUTION. THE CUSTOMER RE-TESTED THE PT SAMPLE FOR CARB IN 1:2 DILUTION; THE RESULT WAS 21 UMOL/L. THE LAB RE-TESTED THE PT NEAT SAMPLE FOR CARB; THE RESULT WAS 21 UMOL/L. THE CUSTOMER THEN RAN ANOTHER DILUTION FOR CARB; THE RESULT WAS 21 UMOL/L. BASED ON AVAILABLE INFO, ONE DOSE OF CARB WAS STOPPED AS A RESULT OF THE FALSE HIGH RESULT OBTAINED IN THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SYNCHRON LX I 725 CLINICAL SYSTEM | DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER | JJE | BECKMAN COULTER, INC. | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |