FDA Adverse Event Malfunction Summary report: N

POWER PROCESSOR

MDR report key: 1913231 · Received December 2, 2010

Report

Report Number
2050012-2010-01480
Event Type
Malfunction
Date Received
December 2, 2010
Date of Event
November 3, 2010
Report Date
November 3, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
JQP
PMA / PMN Number
CL1 EXEMPT
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A BCI FIELD SERVICE ENGINEER (FSE) VISITED (B)(6) 2010. THE CURRENT COMPRESSOR/RELAY WAS SHORTED. THE FSE REPLACED REFRIGERATION SLED ON (B)(6) 2010.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO SMOKE AND SMALL FLAMES OBSERVED FROM THE REFRIGERATION UNIT OF POWER PROCESSOR. NO OPERATOR WAS EXPOSED TO THE SMOKE AND THERE WAS NO EFFECT TO PATIENT OR USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POWER PROCESSOR DATA PROCESSING SYSTEM JQP BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1