LIPASE OSR6230

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,06 report with the FDA on 2011-06-06 for LIPASE OSR6230 manufactured by Beckman Coulter Biomedical Limited.

Event Text Entries

[20393023] Per customer, this issue re-occurs every few weeks, whereby the laboratory will obtain a sample result which displays atypical lipase values. The sampling order and contamination parameters have been checked by the customer contact and are correct. The specimen was returned to bci (co. Clare) for investigation. Testing was conducted over three lots of lipase reagent, including the reagent lots used by the customer at the time of this event. The results from both, the au681-03e and the reference instrument across the three reagent lots are provided below. A root cause for this event has not been determined. Analyzer: au681-03e, rg lot 9830: 20. 57, rg lot 1026: 17. 76, rg lot 1173: 16. 18; alternate instrument, 21. 15, 18. 83, 16. 65. Units: u/l.
Patient Sequence No: 1, Text Type: N, H10


[20415785] A customer contacted beckman coulter inc. , (bci) in regards to an erroneously high lipase result of 171. 0u/l generated by the au681-03e chemistry analyzer. The sample was repeated two more times on this instrument and the following results were obtained: 14. 1u/l and 218. 2u/l. The elevated result was not reported out of the lab. There was no effect to patient treatment.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2050012-2011-02081
MDR Report Key2114853
Report Source01,06
Date Received2011-06-06
Date of Report2011-05-13
Date of Event2011-05-13
Date Mfgr Received2011-05-13
Date Added to Maude2012-02-21
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 BLVD.
Manufacturer CityBREA CA 92821
Manufacturer CountryUS
Manufacturer Postal92821
Manufacturer Phone7149613634
Manufacturer G1BECKMAN COULTER BIOMEDICAL LIMITED
Manufacturer StreetLISMEEHAN O'CALLAGHAN'S MILLS
Manufacturer CityCO. CLARE,,
Manufacturer CountryEI
Single Use3
Remedial ActionOT
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameLIPASE
Generic NameLIPASE REAGENT
Product CodeCDT
Date Received2011-06-06
Model NumberNA
Catalog NumberOSR6230
Lot Number1026
ID NumberNA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER BIOMEDICAL LIMITED
Manufacturer AddressLISMEEHAN O'CALLAGHAN'S MILLS CO. CLARE, EI


Patients

Patient NumberTreatmentOutcomeDate
10 2011-06-06

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