AQUIOS CL FLOW CYTOMETER B30166

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,foreign report with the FDA on 2017-10-20 for AQUIOS CL FLOW CYTOMETER B30166 manufactured by Beckman Coulter Ireland.

Event Text Entries

[90684171] The data log files from the aquios cl flow cytometer were investigated by the software engineering team and they found three different patterns: o one (1) sample id/two (2) different blood tubes o two (2) different sample ids/same blood tube o two (2) same sample ids/same blood tube data analysis for the instrument (serial (b)(4)) was been completed for a total of 18,613 samples ranging from august 19, 2015 through august 1, 2017. The assessment completed by beckman coulter software engineering reported that a total of six (6) instances were identified that led to erroneous results. To date the analysis has confirmed that only the sample ids listed below were affected. ? 170002213091,? 170002214091,? 170002225091,? 170002227091,? 170002233091,? 170002232091. Based on the information by the software team assessment, the failure mode is caused by an aquios cl software malfunction. (b)(4). Related events: 1061932-2017-00012 (b)(4). 1061932-2017-00013 (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[90684172] While doing a database analysis for a customer, the beckman coulter software engineering team identified that the customer's second instrument ((b)(4)) had a total of six (6) instances identified that led to erroneous results.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1061932-2017-00016
MDR Report Key6964836
Report SourceDISTRIBUTOR,FOREIGN
Date Received2017-10-20
Date of Report2017-10-19
Date of Event2017-08-02
Date Mfgr Received2017-09-20
Device Manufacturer Date2014-11-01
Date Added to Maude2017-10-20
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 FDA3
Event Location3
Manufacturer ContactMS. LAURIE O'RIORDAN
Manufacturer Street11800 SW 147TH AVENUE,
Manufacturer CityMIAMI FL 331962031
Manufacturer CountryUS
Manufacturer Postal331962031
Manufacturer Phone3053802874
Manufacturer G1BECKMAN COULTER, INC.
Manufacturer Street11800 SW 147TH AVENUE
Manufacturer CityMIAMI FL 331962031
Manufacturer CountryUS
Manufacturer Postal Code331962031
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction NumberZ2050012-0928/2017-022C
Event Type3
Type of Report3

Device Details

Brand NameAQUIOS CL FLOW CYTOMETER
Generic NameFLOW CYTOMETER
Product CodeOYE
Date Received2017-10-20
Model NumberNA
Catalog NumberB30166
Lot NumberNA
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER IRELAND
Manufacturer AddressLISMEEHAN O' CALLAHGAN'S MILLS, COUNTRY CLARE CA 92821 EI 92821


Patients

Patient NumberTreatmentOutcomeDate
10 2017-10-20

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