FDA Adverse Event
Malfunction
Summary report: N
COBAS INTEGRA 400 PLUS
MDR report key: 1315969
·
Received December 1, 2008
Report
- Report Number
- 1823260-2008-08831
- Event Type
- Malfunction
- Date Received
- December 1, 2008
- Date of Event
- November 15, 2008
- Report Date
- December 2, 2008
- Manufacturer
- HITACHI HIGH TECH. CORP.
- Product Code
- JJE
- PMA / PMN Number
- K951595
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
Description of Event or Problem · 1
USER REPORTED A LEAK COMING FROM THE ANALYZER. THE LEAK CAME FROM THE BACK OF THE INSTRUMENT AND REACHED THE FLOOR. NO PATIENT SAMPLES WERE INVOLVED AND NO ONE WAS INJURED. THE FIELD SERVICE REPRESENTATIVE DETERMINED THE CAUSE TO BE A LEAKING RESERVOIR PUMP. HE REPLACED THE RESERVOIR PUMP AND PERFORMANCE TESTS WERE PERFORMED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | COBAS INTEGRA 400 PLUS | CLINICAL CHEMISTRY ANALYZER - JJE | JJE | HITACHI HIGH TECH. CORP. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |