FDA Adverse Event Malfunction Summary report: N

AU643-02E CLINICAL CHEMISTRY ANALYZER

MDR report key: 1840512 · Received September 21, 2010

Report

Report Number
2050012-2010-00830
Event Type
Malfunction
Date Received
September 21, 2010
Date of Event
August 27, 2010
Report Date
September 21, 2010
Manufacturer
BECKMAN COULTER MISHIMA K.K.
Product Code
JJE
PMA / PMN Number
K961274
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NM, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WAS ON-SITE AND REPLACED A DEFECTIVE VACUUM PUMP DIAPHRAGM. INSTRUMENT PERFORMANCE ISSUES WERE DUE TO WASH STATION MALFUNCTION THAT WAS CAUSED BY THE VACUUM PUMP DIAPHRAGM FAILURE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING 3 URINE MTP RESULTS GENERATED BY THE AU 643-02E CLINICAL CHEMISTRY ANALYZER THAT WERE REVISED LOWER. THERE WAS NO AFFECT TO PATIENT TREATMENT WITH REGARD TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AU643-02E CLINICAL CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER MISHIMA K.K. NA NA

Patients

Seq Age Sex Outcome Treatment
1