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 |