FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 1882920 · Received October 26, 2010

Report

Report Number
2050012-2010-01080
Event Type
Malfunction
Date Received
October 26, 2010
Date of Event
September 27, 2010
Report Date
October 25, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BCI CUSTOMER TECHNICAL SUPPORT (CTS) ASSISTED CUSTOMER IN ENSURING ALL TUBING, SYRINGE AND PROBE CONNECTIONS WERE SECURE. CUSTOMER WAS ABLE TO CALIBRATE AND RUN QUALITY CONTROL WITHOUT FURTHER LEAKING. A SERVICE VISIT HAS ALSO BEEN ORDERED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC (BCI) REGARDING LEAKING FLUID AROUND WASH COLLAR OF A REAGENT PROBE. NO INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 800 SYNCHRON® CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1