BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ORTHO SUMMIT SAMPLE HANDLING SYSTEM

    MDR report key: 1972568 · Received January 28, 2011

    Report

    Report Number
    2250051-2011-00015
    Event Type
    Malfunction
    Date Received
    January 28, 2011
    Date of Event
    January 23, 2011
    Report Date
    January 28, 2011
    Manufacturer
    HAMILTON BONADUZ AG
    Product Code
    JQW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    THE INSTRUMENT HAS BEEN INVESTIGATED. THE FIELD SERVICE ENGINEER (FSE) INSPECTED THE INSTRUMENT. THE FSE FOUND THE TIP CLAMP AND SLEEVE AT POSITIONS # 4 AND 5 WERE STICKY. THE FSE REPLACED THE TIP CLAMP AND LLD SPRING AND CLEANED THE SLEEVE AT BOTH POSITIONS. THE FSE FOUND A BENT TIP CLAMP AT POSITIONS #5 AND 12 AND REPLACED THEM. THE FSE PERFORMED SPLLD CHECKING PROCEDURE AND TESTED SUMMIT WITH OAS USER SOFTWARE. THE INSTRUMENT WAS TESTED WITHOUT PROBLEM AND WAS RETURNED TO EXPECTED OPERATION.

    Description of Event or Problem · 1

    THE ORTHO SUMMIT SAMPLE HANDLING SYSTEM INSTRUMENT REPORTEDLY DID NOT PIPETTE SAMPLE AND DID NOT GENERATE AN ERROR MESSAGE. NO DEATH OR SERIOUS INJURY WAS ASSOCIATED WITH THIS INCIDENT. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ORTHO SUMMIT SAMPLE HANDLING SYSTEM SAMPLE PIPETTER JQW HAMILTON BONADUZ AG 936400

    Patients

    Seq Age Sex Outcome Treatment
    1