inforMED
InjuryCDD

ALIQUOTING ACCESSORY UPGRADE KIT

Received Jun 29, 2021 · Event occurred Jun 16, 2021

Report 2050012-2021-00041 · MDR key 12089339

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Product code (CDD)
Manufacturer (Beckman Coulter, Inc.)
Model (ALIQUOTING ACCESSORY UPGRADE KIT)

Device

Generic name

Radioassay, Vitamin B12

Manufacturer

Beckman Coulter

Catalog number

6605574

Product problems

  • False Positive Result
  • False Positive Result

Patient

Not reported

  • Insufficient Information
  • Insufficient Information

Narrative

Additional Manufacturer Narrative

A BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED AND EVALUATED THE DEVICE. THE FIELD SERVICE ENGINEER (FSE) REPLACED THE VALVE OF THE ALIQUOTTER NOZZLE ASSEMBLY TO RESOLVE THE ISSUE. NO FURTHER INFORMATION WAS AVAILABLE TO BE PROVIDED FOR THE DELAY IN PATIENT TREATMENT. BECKMAN COULTER INTERNAL IDENTIFIER IS (B)(4). NO PATIENT DEMOGRAPHIC INFORMATION (AGE, GENDER, WEIGHT, RACE OR ETHNICITY) WAS PROVIDED.

Description of Event or Problem

CUSTOMER REPORTED FALSE POSITIVE HCG (HUMAN CHORIONIC GONADOTROPIN) RESULTS GENERATED ON THE DXI DUE TO AN ALIQUOTER ISSUE ON THE AUTOMATION LINE CAUSING CROSS-CONTAMINATION OF THE SAMPLES. THE ERRONEOUS RESULTS WERE REPORTED OUTSIDE OF THE LAB. THE PATIENT TREATMENT WAS DELAYED DUE TO THE FALSE POSITIVE RESULTS. NO ADDITIONAL INFORMATION WAS PROVIDED IN REGARDS TO THE DELAYED PATIENT TREATMENT.