inforMED
MalfunctionCEK

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

Received Nov 20, 2010 · Event occurred Oct 22, 2010

Report 2050012-2010-01236 · MDR key 1903791

Device

Generic name

Clinical Chemstry Analyzer

Model number

DXC 600 PRO

Catalog number

A11810

Lot number

NA

Product problems

  • Low Test Results

Patient

Not reported

  • No Patient Involvement

Narrative

Description of Event or Problem

A CUSTOMER CONTACTED BECKMAN COULTER INC (BCI) IN REGARDS TO ERRONEOUSLY LOW TOTAL PROTEIN RESULTS GENERATED BY UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER. THE ERRONEOUS RESULTS WERE REPORTED OUT OF THE LABORATORY. THE CUSTOMER NOTICED THE LOW RESULTS AND REPEATED ALL PATIENT SAMPLES SINCE THE LAST GOOD QC ON AN ALTERNATE INSTRUMENT. SEVEN PATIENT RESULTS WERE AMENDED. THE CUSTOMER DOES NOT BELIEVE THAT PATIENTS WERE IMPACTED BY THE ERRONEOUS RESULTS.

Additional Manufacturer Narrative

QC DID NOT DEMONSTRATE AN ISSUE. A BCI FIELD SERVICE ENGINEER (FSE) IDENTIFIED SAMPLE PROBE CARRYOVER, AND REPLACED SAMPLE PROBE AND WASH COLLAR. THE FSE PERFORMED ALIGNMENTS, AND A RETEST PASSED SPECIFICATIONS.

Remedial action

  • Inspection
  • Replace