AU480 CLINICAL CHEMISTRY ANALYZER WITH ISE AU481-10E B12183

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 2014-01-28 for AU480 CLINICAL CHEMISTRY ANALYZER WITH ISE AU481-10E B12183 manufactured by Beckman Coulter.

Event Text Entries

[4095097] A customer reported the generation of an erroneous potassium (k) result on their au480 analyzer. An electrical burning smell from the instrument was also reported. The customer obtained a result of 7. 9 mmol/l. They repeated the patient sample on the au480 and received 3 inconsistent results of 3. 7, 5. 9, 10. 2 mmol/l respectively. The result was not reported outside the laboratory so there was no change to patient treatment.
Patient Sequence No: 1, Text Type: D, B5


[11541097] A field service engineer (fse) was dispatched. Upon inspection of the ise unit and flow cell, the fse observed air in the flow cell. The fse also noticed a pin hole in the tube between the dilution pot and the flow cell. He replaced the tubing and the air stopped. He recalibrated successfully and no more issues were identified. The fse also carried out instrument activities to identify the burning smell, however, he could not replicate the burning smell reported by the customer. The manufacturer reference number for this event is (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9612296-2014-00015
MDR Report Key3596196
Report Source05,06
Date Received2014-01-28
Date of Report2014-01-07
Date of Event2014-01-07
Date Mfgr Received2014-01-07
Device Manufacturer Date2012-07-13
Date Added to Maude2014-04-23
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 Phone7149614941
Manufacturer G1BECKMAN COULTER MISHIMA K.K.
Manufacturer Street454-32 HIGASHINO NAGAIZUMI-CHO
Manufacturer CitySUNTO-GUN, SCHIZUOKA 411-093
Manufacturer CountryJA
Manufacturer Postal Code411-093
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAU480 CLINICAL CHEMISTRY ANALYZER WITH ISE
Generic NameANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE
Product CodeMZV
Date Received2014-01-28
Model NumberAU481-10E
Catalog NumberB12183
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER
Manufacturer Address250 S. KRAEMER BLVD. BREA CA 92821 US 92821


Patients

Patient NumberTreatmentOutcomeDate
10 2014-01-28

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