FDA Adverse Event Malfunction Summary report: N

2250051-2009-00069

MDR report key: 1327091 · Received February 19, 2009

Report

Report Number
2250051-2009-00069
Event Type
Malfunction
Date Received
February 19, 2009
Product Code
JTC
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

THE INSTRUMENT HAS BEEN INVESTIGATED. THE FIELD SERVICE ENGINEER (FSE) EVALUATED THE INSTRUMENT AND FOUND DRIED SERUM ON TIP AND PLUNGER CLAMP ON POSITION #2. ALSO FOUND WORN 2-POLE RIBBON CABLE ON POSITION #2. FSE REPLACED THE TIP CLAMP, PLUNGER CLAMP, AND 2-POLE RIBBON CABLE ON POSITION #2. DURING FUNCTIONAL TESTING, FSE RECEIVED INTERMITTENT LLD ERRORS ON PRIMARY RACK FOR POSITION #2. FSE REPLACED DEFECTIVE TUBE LIFTER. THE INSTRUMENT WAS TESTED WITHOUT FURTHER PROBLEM AND WAS RETURNED TO EXPECTED OPERATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 JTC

Patients

Seq Age Sex Outcome Treatment
1