AU480 CLINICAL CHEMISTRY ANALYZER AU481-10E B12183

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2016-01-26 for AU480 CLINICAL CHEMISTRY ANALYZER AU481-10E B12183 manufactured by Beckman Coulter, Inc.

Event Text Entries

[36848516] Beckman customer support hotline reviewed customer data to determine that the acetaminophen (actm) calibration formula in specific test parameters was incorrect. Field application specialist was dispatched to assess the instrument and correct the calibration formula setting. There was no evidence of malfunction. Parameters are installed using a master disk. Au manufacturing reviewed original master disk copy and master disk entry logs to confirm no errors were detected. The correct calibration formula was verified on the original master. Further review of the incorrect calibration formula confirmed the only impact would be to the low or negative end of the calibration curve. Although the cause of the incorrect calibration parameter setting is unknown, correcting the calibration formula resolved the issue. No further issues have been reported. Patient demographics, such as age, date of birth or weight, were not provided. (b)(4). All other associated mdrs: patient 1 (day 1) - 9612296-2016-00010; patient 1 (day 2) - 9612296-2016-00011; patient 1 (day 3) - 9612296-2016-00012. Patient 2 - 9612296-2016-00014.
Patient Sequence No: 1, Text Type: N, H10


[36848517] Customer reported erroneous false positive acetaminophen (actm) results generated by the au480 clinical chemistry analyzer. This mdr reports patient 1 event from (b)(6) 2016. This event will address patient 1 day 4. On (b)(6) 2016, the instrument generated elevated actm results. Customer indicated that the erroneous results were elevated but not within the toxic range. The results were reported out of the laboratory. There was reported change to patient treatment associated with this event. Patient was admitted to the hospital for alcohol intoxication and hospitalization was prolonged due to continued reports of elevated actm. Customer stated there had been no issues with actm calibration; all were passing. Customer stated there were no controls (qc) issues. Review of qc history demonstrated typical and consistent recovery that were within the facility ranges. Customer reported no issues with analyzer or with any other assay.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9612296-2016-00013
MDR Report Key5390895
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2016-01-26
Date of Report2016-01-12
Date of Event2016-01-11
Date Mfgr Received2016-01-12
Device Manufacturer Date2015-08-01
Date Added to Maude2016-01-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. DAVID DAVIS
Manufacturer Street250 S. KRAEMER BLVD. M/S E1.SE.01
Manufacturer CityBREA CA 928218000
Manufacturer CountryUS
Manufacturer Postal928218000
Manufacturer Phone7149613796
Manufacturer G1BECKMAN COULTER MISHIMA K.K.
Manufacturer Street454-32 HIGASHINO, NAGAIZUMI-CHO SUNTO-GUN
Manufacturer CitySCHIZUOKA, MISHIMA, JP-NOTA 41, JA
Manufacturer CountryJA
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameAU480 CLINICAL CHEMISTRY ANALYZER
Generic NameANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE
Product CodeLDP
Date Received2016-01-26
Model NumberAU481-10E
Catalog NumberB12183
Lot NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No0
Device Event Key0
ManufacturerBECKMAN COULTER, INC
Manufacturer Address250 S. KRAEMER BLVD. BREA CA 92821 US 92821


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2016-01-26

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