UNICEL? DXC 600I SYNCHRON? ACCESS? CLINICAL SYSTEM A27318

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2010-01-11 for UNICEL? DXC 600I SYNCHRON? ACCESS? CLINICAL SYSTEM A27318 manufactured by Beckman Coulter Inc..

Event Text Entries

[16567507] No qc issues were noted. A field service engineer (fse) was on-site and replaced the cartridge chemistry sample probe and mixer wash station. Repairs were verified and the issue was resolved. A malfunction will be assumed for the purpose of this report.
Patient Sequence No: 1, Text Type: N, H10


[16642023] Customer contacted beckman coulter inc. (bci) regarding false high triglyceride (tg) results generated by the unicel dxc 600i synchron access clinical system. The original results were in the range 415-923 mg/dl and upon repeat the results were in the range 108-285 mg/dl. There were no long-term consequences for the patients.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2050012-2010-00004
MDR Report Key1574481
Report Source05
Date Received2010-01-11
Date of Report2009-01-12
Date of Event2009-12-18
Date Mfgr Received2009-12-18
Device Manufacturer Date2008-06-12
Date Added to Maude2010-07-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS. NORA ZEROUNIAN
Manufacturer Street250 S. KRAEMER BOULEVARD
Manufacturer CityBREA CA 928228000
Manufacturer CountryUS
Manufacturer Postal928228000
Manufacturer Phone7149613634
Manufacturer G1BECKMAN COULTER INC.
Manufacturer Street200 S. KRAEMER BLVD.
Manufacturer CityBREA CA 92822
Manufacturer CountryUS
Manufacturer Postal Code92822
Single Use3
Remedial ActionRL
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameUNICEL? DXC 600I SYNCHRON? ACCESS? CLINICAL SYSTEM
Generic NameCLINICAL CHEMISTRY ANALYZER
Product CodeCDT
Date Received2010-01-11
Model NumberNA
Catalog NumberA27318
Lot NumberNA
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER INC.
Manufacturer Address200 S. KRAEMER BLVD. BREA CA 92822 US 92822


Patients

Patient NumberTreatmentOutcomeDate
10 2010-01-11

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