FDA Adverse Event Malfunction Summary report: N

ARTISAN LINK PRO

MDR report key: 11031723 · Received December 17, 2020

Report

Report Number
9610099-2020-00056
Event Type
Malfunction
Date Received
December 17, 2020
Date of Event
November 20, 2020
Report Date
December 17, 2020
Manufacturer
AGILENT TECHNOLOGIES DENMARK APS
Product Code
KPA
UDI-DI
05700571108451
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ROOT CAUSE: POTENTIAL ALTERATION OF STAINING IN THIS CASE WAS DUE TO IMPROPER OPERATION OF THE HEATER ON THE SLIDE CAROUSEL. THE PROBLEM WAS SOLVED BY FIELD SERVICE ENGINEER WITH REPLACEMENT OF THE PART. FOLLOWING THE REPLACEMENT, THE INSTRUMENT WAS FULLY OPERATIONAL WITHIN SPECIFICATIONS, WITHOUT ERRORS AND AVAILABLE FOR THE USER. FAILURE MODE DESCRIPTION: FOLLOWING A HEATER MALFUNCTION OR IF THE PART STOPS WORKING; THE RESULTING FAILURE MODES DESCRIBED COULD OCCUR:, HEATER CABLE MALFUNCTION AND TEMPERATURE MISALIGNMENT. FAILURE MODE IN ALL SCENARIOS HAS THE POTENTIAL TO CAUSE A STAINING ALTERATION.

Description of Event or Problem · 1

CUSTOMER COMPLAINT RECORD REPORTED THE EVENT AS FOLLOWS: HEATER FAILURE ON 6 POSITIONS. NO DIRECT OR INDIRECT PATIENT HARM OR USER HARM HAVE BEEN REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1492416 ARTISAN LINK PRO ARTISAN LINK PRO KPA AGILENT TECHNOLOGIES DENMARK APS AR310 05700571108451

Patients

Seq Age Sex Outcome Treatment
1