AU680 CLINICAL CHEMISTRY ANALYZER AU681-10DE, WIN7, CHEMISTRY ANALYZER AU680 FOR DIR B96695

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 2018-11-14 for AU680 CLINICAL CHEMISTRY ANALYZER AU681-10DE, WIN7, CHEMISTRY ANALYZER AU680 FOR DIR B96695 manufactured by Beckman Coulter.

Event Text Entries

[127207591] A beckman coulter (bec) field service engineer (fse) was sent to the customer site. The fse recalibrated and redirected qc. The patient sample was rerun on a different instrument. No system or equipment malfunction was identified and no parts were replaced. Beckman coulter internal identifier is case-(b)(4).
Patient Sequence No: 1, Text Type: N, H10


[127207592] The customer reported the au680 clinical chemistry analyzer generated an erroneously high procalcitonin (pct) patient result. The result was released from the lab and the patient was prescribed an antibiotic, augmentin, as a result of the erroneously high pct result. The patient was later released from hospital and no patient harm was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9612296-2018-01095
MDR Report Key8072199
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2018-11-14
Date of Report2018-11-14
Date of Event2018-10-17
Date Facility Aware2018-10-18
Date Mfgr Received2018-10-18
Device Manufacturer Date2017-03-01
Date Added to Maude2018-11-14
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
Manufacturer CityBREA CA 928218000
Manufacturer CountryUS
Manufacturer Postal928218000
Manufacturer Phone7149613796
Manufacturer G1BECKMAN COULTER MISHIMA K.K.
Manufacturer Street454-32 HIGASHINO
Manufacturer CityNAGAIZUMI-CHO SUNTO-GUN JP-NOTA 4
Manufacturer CountryJA
Manufacturer Postal CodeJP-NOTA 41
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameAU680 CLINICAL CHEMISTRY ANALYZER
Generic NameANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE
Product CodePRI
Date Received2018-11-14
Model NumberAU681-10DE, WIN7, CHEMISTRY ANALYZER AU680 FOR DIR
Catalog NumberB96695
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No0
Device Event Key0
ManufacturerBECKMAN COULTER
Manufacturer Address250 S. KRAEMER BLVD BREA CA 928218000 US 928218000

Device Sequence Number: 1

Brand NameAU680 CLINICAL CHEMISTRY ANALYZER
Generic NameANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE
Product CodeJJE
Date Received2018-11-14
Model NumberAU681-10DE, WIN7, CHEMISTRY ANALYZER AU680 FOR DIR
Catalog NumberB96695
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER
Manufacturer Address250 S. KRAEMER BLVD BREA CA 928218000 US 928218000


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-11-14

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