FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON ® CHEMISTRY ANALYZER

MDR report key: 1951093 · Received January 6, 2011

Report

Report Number
2050012-2011-00036
Event Type
Malfunction
Date Received
January 6, 2011
Date of Event
December 11, 2010
Report Date
December 11, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER TECHNICAL SUPPORT (CTS) ASSISTED THE CUSTOMER TO INSPECT THE REAGENT SYRINGE. THE CUSTOMER TIGHTENED THE LOOSE REAGENT SYRINGE; HOWEVER THE ISSUE WAS NOT RESOLVED. A BCI FIELD SERVICE ENGINEER (FSE) DISCOVERED THE AUTO-GLOSS WAS NOT REACHING THE BLADE AND REPAIRED THE ISSUE WITH NEW PERI TUBING. FSE DISCOVERED THE REAGENT PROBE B LEAK WAS CAUSED BY A FAULTY THREE WAY VALVE. FSE REPLACED THE VALVE WHICH RESOLVED THE ISSUE. FSE RAN QC AND CALIBRATION; BOTH PASSED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) TO REPORT A CARTRIDGE CHEMISTRY SAMPLE PROBE WAS STUCK IN SAMPLE TUBE. DURING TROUBLESHOOTING THE CUSTOMER NOTICED REAGENT PROBE LEAKING. NO INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600 PRO SYNCHRON ® CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. DXC 600 PRO N/A

Patients

Seq Age Sex Outcome Treatment
1