FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 SYNCHRON® CLINICAL SYSTEM

MDR report key: 1905073 · Received November 22, 2010

Report

Report Number
2050012-2010-01336
Event Type
Malfunction
Date Received
November 22, 2010
Date of Event
October 29, 2010
Report Date
November 22, 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
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WENT ON-SITE AND FOUND A LEAKING SYRINGE PUMP ON THE TOTAL PROTEIN MODULE, REPLACED IT AND PERFORMED THE CUP MONTHLY MAINTENANCE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC (BCI) STATING TOTAL PROTEIN (TP) RESULTS WERE SUPPRESSED AND FLAGGED WITH IL (INITIAL RATE LOW) ON THE UNICEL DXC 800 SYNCHRON CLINICAL SYSTEM. NO RESULTS WERE REPORTED OUTSIDE OF THE LABORATORY.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1