COULTER LH 500 Series System, Part Number: 178833, Beckman Coulter, Brea, CA. (Hematology analyzer)
This recall has been terminated (originally issued December 22, 2007).
- Company
- Beckman Coulter Inc.
- Recall Initiated
- April 18, 2007
- Posted
- December 22, 2007
- Terminated
- April 16, 2012
- Recall Number
- Z-0314-2008
- Quantity
- 917 units in the US; 82 units to Canada
- Firm Location
- Brea, CA
- Official Source
- View on FDA website ↗
Reason for Recall
Patient Mis-identification can occur: 1)- When a positive identifier (Sample ID or Cassette/Position) is manually edited to a positive identifier that is already in the To Do list. The workstation will accept the entry and no error message will be generated, creating 2 samples with the identical positive identifier. 2)- When manually entering a Patient ID, if a blank space is entered between th
Distribution
World wide: USA and Canada
Lot / Code Info
Part Number 178833. All software versions
Root Cause
Software design
Action Taken
Product Corrective Action (PCA) letters were mailed on April 18,2007, to all GENS, LH500, LH750 and LH780 accounts. They are informed that a potential misidentification can occur in 2 scenarios. 1. When a positive identifier (Sample ID or CassetteIPosition) is manually edited to a positive identifier that is already in the ToDo list. The workstation will accept the entry and no error message will be generated, creating 2 samples with the identical positive identifier. 2. When manually entering a Patient ID, if a blank space is entered between the characters in the Patient ID field, the system will only accept the characters before the space.----Short term fix----- The letter explains the issues and provides the customer work around. (Letters were sent by US mail). A customer response form was provided. The root cause of the problem is still under investigation, software upgrades, when approved will be made to devices.