FDA Adverse Event Malfunction Summary report: N

DXC 600 PRO

MDR report key: 9153792 · Received October 3, 2019

Report

Report Number
2050012-2019-01116
Event Type
Malfunction
Date Received
October 3, 2019
Date of Event
September 23, 2019
Report Date
October 3, 2019
Manufacturer
BECKMAN COULTER
Product Code
JJE
UDI-DI
15099590375034
PMA / PMN Number
K103842
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) EVALUATED THE UNICEL® DXC 600 PRO INSTRUMENT, AND IDENTIFIED THE FAILURE MODE AS MULTIPLE HARDWARE. THE FSE REPLACED THE SAMPLE PROBE, VACUUM WASH COLLAR WASTE VALVE AND THE WASH COLLAR VALVE FOR REAGENT PROBES A AND B TO RESOLVE THE ISSUE. INFORMATION NOT PROVIDED BY CUSTOMER. THE BECKMAN COULTER INTERNAL IDENTIFIER IS CASE-(B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE GENERATION OF MULTIPLE ERRONEOUS PATIENT RESULTS FOR MULTIPLE CHEMISTRIES ON CC (CARTRIDGE CHEMISTRY SIDE) WITH ORR LO ERROR AND MC (MODULAR CHEMISTRY) AND CC (CLINICAL CHEMISTRY) PROBE OBSTRUCTION ERRORS ON THEIR UNICEL® DXC 600 PRO INSTRUMENT. THE ERRONEOUS PATIENT RESULTS WERE REPORTED OUT OF THE LABORATORY AND WERE LATER AMENDED. THERE WAS NO AFFECT TO PATIENT TREATMENT IN CONNECTION TO THE EVENT. QUALITY CONTROL WAS WITHIN THE LABORATORY¿S ESTABLISHED RANGES PRIOR TO EVENT. THE CUSTOMER DID NOT PROVIDE DATA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
946825 DXC 600 PRO ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER DXC 600 PRO, UCTA & CTA READY, PACKAGED 15099590375034

Patients

Seq Age Sex Outcome Treatment
1