FDA Adverse Event Malfunction Summary report: N

SYNCHRON® CX9 ALX CLINICAL SYSTEM

MDR report key: 1873165 · Received October 18, 2010

Report

Report Number
2050012-2010-01004
Event Type
Malfunction
Date Received
October 18, 2010
Date of Event
September 23, 2010
Report Date
October 18, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K950958
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A BCI FIELD SERVICE ENGINEER (FSE) FOUND THE CONNECTION ON THE 220V AC LINE FROM INSTRUMENT TO THE UPS FAILED. THE FSE REPLACED THE POWER CABLE WITH THE CUSTOMER STOCK. PER LABELING, BECKMAN COULTER SYSTEMS HAVE THE CE MARK OR UL/CSA APPROVALS WHICH MEANS THE SYSTEMS MEET THE ELECTRICAL SAFETY STANDARDS, AND ARE MADE OF MATERIALS THAT WILL NOT SUPPORT OR SUSTAIN COMBUSTION, AND ARE SELF EXTINGUISHING.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO A SPARK AND SMOKE OBSERVED FROM SYNCHRON CX9 ALX CLINICAL SYSTEM. BCI HOTLINE ADVISED THE CUSTOMER TO TURN OFF THE INSTRUMENT AND UNPLUG ALL POWER CABLES FROM THE SOCKET. BCI HOTLINE GENERATED SERVICE IMMEDIATELY. NO ONE WAS INJURED OR EXPOSED TO SMOKE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON® CX9 ALX CLINICAL SYSTEM CLINICAL CHEMSTRY ANALYZER JJE BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1