COULTER LH 750 ANALYZER 6605632

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2011-04-27 for COULTER LH 750 ANALYZER 6605632 manufactured by Beckman Coulter, Inc..

Event Text Entries

[20734146] A customer contacted beckman coulter inc. (bci) stating that the coulter lh 750 analyzer gave erroneously high reticulocyte of 50 with an r flag. The customer performed a manual count and obtained a correct result of 1. 1. No erroneous results were reported out of the laboratory. The result of the manual count was accepted as the correct result and was reported out. There was no death, injury, or change to patient treatment associated with this event.
Patient Sequence No: 1, Text Type: D, B5


[20828464] The instrument is currently within qc specifications with respect to controls (accuracy) and repeatability (precision). Controls were run before the cf event; all recovered within assay limits, controls were not ran after the event. A field service engineer (fse) was dispatched and replaced the red strip tubing for the stain and retic mixing chambers. The fse also replaced the diff and retic sample lines to the flow cell. The customer was instructed to "prime" before running baby samples to help avoid excessive r flags. The root cause is instrument related as the fse had to replace hardware.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1061932-2011-00308
MDR Report Key2071298
Report Source06
Date Received2011-04-27
Date of Report2011-03-28
Date of Event2011-03-28
Date Mfgr Received2011-03-28
Date Added to Maude2011-05-05
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 92821
Manufacturer CountryUS
Manufacturer Postal92821
Manufacturer Phone7149613634
Manufacturer G1BECKMAN COULTER, INC.
Manufacturer Street11800 SW 147TH AVENUE
Manufacturer CityMIAMI FL 33196
Manufacturer CountryUS
Manufacturer Postal Code33196
Single Use3
Remedial ActionRL
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameCOULTER LH 750 ANALYZER
Generic NameAUTOMATED DIFFERENTIAL CELL COUNTER
Product CodeLOQ
Date Received2011-04-27
Model NumberLH 750
Catalog Number6605632
Lot NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER, INC.
Manufacturer Address11800 SW 147TH AVENUE MIAMI FL 33196 US 33196


Patients

Patient NumberTreatmentOutcomeDate
10 2011-04-27

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