UNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM 973100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2016-09-09 for UNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM 973100 manufactured by Beckman Coulter.

Event Text Entries

[54321421] (b)(6). A beckman coulter (bec) field service engineer (fse) was dispatched to assess the instrument's performance. The fse, as part of troubleshooting, performed a high sensitivity system check which failed the foam portion due to high fliers. This led the fse to inspect the mixing system. The fse then replaced the mixer gripper spinners. Failing mixer gripper spinners can cause excessive splashing in the reaction vessels (rvs) which can lead to (b)(6) results in sandwich assays such as the access (b)(6) and access toxo igg assays. After completion of the repairs, the fse performed another high sensitivity system check which then passed within all published performance specifications. In conclusion, a hardware malfunction of the instrument's mixer gripper spinners in the cause of the (b)(6) results obtained by the customer.
Patient Sequence No: 1, Text Type: N, H10


[54321422] The customer reported obtaining (b)(6) and toxoplasmosis gondii igg (access toxo igg) results for an unknown number of patients on the laboratory's unicel dxi 800 access immunoassay system serial number (b)(4). One example of a (b)(6) access toxo igg result was provided. This patient's sample was initially analyzed on the unicel dxi 800 access immunoassay system serial number (b)(4) and a (b)(6) result was obtained. The same sample was then analyzed on an alternate methodology from abbott (exact method was not provided) and a (b)(6) result was obtained. The (b)(6) access (b)(6) and access toxo igg results were not released from the laboratory. There was no report of change to or impact to patient treatment in conjunction with this event. Assay calibrations were passing within assay specifications prior to the event. The customer did not provide qc (quality control) or other performance indicators for review. The customer did not supply any information regarding sample collection or sample processing (including centrifugation information) for this event. There were no reports of issues with sample integrity in conjunction with this event. A beckman coulter (bec) field service engineer (fse) was dispatched to assess the instrument's performance.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2122870-2016-00442
MDR Report Key5939450
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2016-09-09
Date of Report2016-08-16
Date of Event2016-08-09
Date Mfgr Received2016-08-16
Device Manufacturer Date2016-04-26
Date Added to Maude2016-09-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. ANGELA KILIAN
Manufacturer Street1000 LAKE HAZELTINE DRIVE
Manufacturer CityCHASKA MN 55318
Manufacturer CountryUS
Manufacturer Postal55318
Manufacturer Phone9523681330
Manufacturer G1BECKMAN COULTER
Manufacturer Street1000 LAKE HAZELTINE DRIVE
Manufacturer CityCHASKA MN 55318
Manufacturer CountryUS
Manufacturer Postal Code55318
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameUNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM
Generic NameANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE
Product CodeLKQ
Date Received2016-09-09
Model NumberNA
Catalog Number973100
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No0
Device Event Key0
ManufacturerBECKMAN COULTER
Manufacturer Address1000 LAKE HAZELTINE DRIVE CHASKA MN 55318 US 55318

Device Sequence Number: 1

Brand NameUNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM
Generic NameANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE
Product CodeJJE
Date Received2016-09-09
Model NumberNA
Catalog Number973100
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER
Manufacturer Address1000 LAKE HAZELTINE DRIVE CHASKA MN 55318 US 55318


Patients

Patient NumberTreatmentOutcomeDate
10 2016-09-09

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