UNICEL? DXI 600 ACCESS? IMMUNOASSAY SYSTEM A30260

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2012-08-17 for UNICEL? DXI 600 ACCESS? IMMUNOASSAY SYSTEM A30260 manufactured by Beckman Coulter, Inc..

Event Text Entries

[2795387] Customer reported to beckman coulter, inc. (bec) that they had decreased parathyroid hormone (pth) quality control recovery on the unicel dxi 600 access immunoassay system (dxi 600 analyzer) with serial number (b)(4). Bec customer technical support (cts) troubleshot the issue with the customer via the telephone. Cts determined that the reagent pack was removed from the laboratory's other analyzer (serial number (b)(4)) after being used for intraoperative intact parathyroid hormone and then placed on the dxi 600 analyzer (serial number (b)(4)). Customer reported that they used pth reagent pack, lot 122078, on the dxi 600 analyzer (serial number (b)(4)). Customer reported that the pth reagent lot 122078 was calibrated using pth calibrator lot 289723. Customer indicated that they were using biorad quality control material, lot 41650, levels 1, 2, and 3 as quality control. Customer reported that 9 patient samples were analyzed using reagent pack lot 122078. Customer reported that the results were released out of the laboratory. Customer reported that they were unable to repeat the samples because the samples were stored beyond the acceptable time to perform the pth assay. Customer did not provide any patient data. There was no report of any adverse event or injury requiring medical intervention or patient treatment. Cts advised the customer to remove and discard pth reagent pack lot 122078 and load a new reagent pack using proper technique. Bec also analyzed the dxi 600 analyzer (serial number (b)(4)) event log. The event log indicated that the dxi 600 analyzer displayed two (2) "reagent pack monitoring errors. "
Patient Sequence No: 1, Text Type: D, B5


[10125404] (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2122870-2012-01682
MDR Report Key2704982
Report Source05,06
Date Received2012-08-17
Date of Report2012-07-23
Date of Event2012-07-23
Date Mfgr Received2012-07-23
Device Manufacturer Date2009-05-21
Date Added to Maude2012-12-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS. DUNG NGUYEN
Manufacturer Street250 S. KRAEMER BLVD.
Manufacturer CityBREA CA 92821
Manufacturer CountryUS
Manufacturer Postal92821
Manufacturer Phone7149613634
Manufacturer G1BECKMAN COULTER, INC.
Manufacturer Street1000 LAKE HAZELTINE DRIVE
Manufacturer CityCHASKA MN 55318
Manufacturer CountryUS
Manufacturer Postal Code55318
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNICEL? DXI 600 ACCESS? IMMUNOASSAY SYSTEM
Generic NameANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE
Product CodeOEW
Date Received2012-08-17
Model NumberNA
Catalog NumberA30260
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER, INC.
Manufacturer Address250 S. KRAEMER BOULEVARD BREA CA 92821623 US 92821 6232


Patients

Patient NumberTreatmentOutcomeDate
10 2012-08-17

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