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