FDA Adverse Event Malfunction Summary report: N

SYNCHRON® CX9 ALX CLINICAL SYSTEM

MDR report key: 1964443 · Received January 19, 2011

Report

Report Number
2050012-2011-00141
Event Type
Malfunction
Date Received
January 19, 2011
Date of Event
December 23, 2010
Report Date
December 23, 2010
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K950958
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER TECHNICAL SUPPORT ASSISTED THE CUSTOMER WITH TROUBLESHOOTING (TS) AND DETERMINED THAT THE CAP WAS NOT TIGHTLY FASTENED AFTER THE BOTTLE WAS REFILLED. THE CUSTOMER TIGHTENED THE BOTTLE AND THE ISSUE WAS RESOLVED. THE SYSTEM IS NOW OPERATING ACCEPTABLY.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) STATING THAT THE REAGENT PROBE RINSE BOTTLE WAS LEAKING IN THE SYNCHRON CX9 ALX CLINICAL SYSTEM. NO OPERATOR EXPOSURE WAS NOTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON® CX9 ALX CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. CX9 ALX N/A

Patients

Seq Age Sex Outcome Treatment
1