FDA Adverse Event Malfunction Summary report: N

PREPSTAIN SYSTEM

MDR report key: 1638273 · Received March 16, 2010

Report

Report Number
1062336-2010-00004
Event Type
Malfunction
Date Received
March 16, 2010
Date of Event
February 17, 2010
Manufacturer
ANDREAS HETTICH GMBH & CO.
Product Code
MKQ
PMA / PMN Number
P970018
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ON MARCH 4, 2010, (B)(6), NOTIFIED BD TRIPATH OF A FIELD ACTION REGARDING THE ROTINA 380 MODELS. ON THE LID OF THE CENTRIFUGE THERE ARE TWO "GAS SPRINGS" THAT ASSIST THE LID TO BE RAISED AND PREVENT IT FROM FALLING WHEN RELEASED. THE SPRINGS ARE ATTACHED TO THE LID AT ONE END AND TO A BRACKET INSIDE THE CENTRIFUGE HOUSING AT THE OTHER. THE CENTRIFUGE WAS RECEIVED ON MARCH 9, 2010. QA ENGINEERING AND OPERATIONS EVALUATED THE RETURNED CENTRIFUGE AND CONFIRMED THE FIELD ACTION (RECALL/RETROFIT) DEFECT CITED BY (B)(6). BOTH GAS STRUTS WERE DETACHED, HOWEVER, THE LEFT REAR STRUT APPARENTLY HAD TOUCHED THE POWER TRANSFORMER CAUSING AN ELECTRICAL SHORTAGE, BECAUSE ELECTRICAL BURNS COULD BEEN SEEN ON THE STRUT AND TRANSFORMER. ALSO, THE INSTRUMENT WOULD NOT POWER-UP, THEREFORE, NO OTHER PARAMETERS COULD BE EVALUATED. (B)(6) HAS INITIATED AN INVESTIGATION TO DETERMINE THE ROOT CAUSE AND APPROPRIATE CORRECTIVE ACTIONS. IN ADDITION, (B)(6) IS FACILITATING ALL ACTIVITIES ASSOCIATED WITH THEIR FIELD ACTION. BD DIAGNOSTICS HAS PROVIDED THE LOCATIONS AND CUSTOMERS FOR THE AFFECTED INSTRUMENTS.

Description of Event or Problem · 1

THE CYTOPATHOLOGY LABORATORY OBSERVED THAT ONE OF THE SHOCKS WAS DAMAGED ON THE CENTRIFUGE. THE LID WILL NOT STAY UP. IN ADDITION, THERE WAS A BURNING SMELL COMING FROM THE CENTRIFUGE SO THEY DISCONNECTED THE INSTRUMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PREPSTAIN SYSTEM HETTICH CENTRIFUGE (COMPONENT) MKQ ANDREAS HETTICH GMBH & CO. ROTINA 380 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK