FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 1951765 · Received January 7, 2011

Report

Report Number
2050012-2011-00078
Event Type
Malfunction
Date Received
January 7, 2011
Date of Event
December 10, 2010
Report Date
December 10, 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

CUSTOMER INDICATED THAT THE GLU MODULE SENSOR WAS REPLACED, WHICH WAS NOT SECURE PROPERLY AND LEAKED. CUSTOMER ATTEMPTED TO FIX THE ISSUE, BUT THE LEAK WAS ENOUGH DOWN SIDE OF MODULE FLUID, WHICH MADE CONTACT WITH INTERFACE CABLES ON THE MODULE. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED AND REPLACED THE GLU MODULE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) STATING THAT THE GLUCOSE (GLUC) REAGENT WAS LEAKING AT THE CUP LOCATED IN THE UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER. 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 NA

Patients

Seq Age Sex Outcome Treatment
1