FDA Adverse Event Malfunction Summary report: N

SYNCHRON LX 20 PRO CLINICAL SYSTEMS

MDR report key: 1980876 · Received February 7, 2011

Report

Report Number
2050012-2011-00392
Event Type
Malfunction
Date Received
February 7, 2011
Date of Event
January 20, 2011
Report Date
January 20, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K011213
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER FLUSHED THE REAGENT LINE WITH HOT DI WATER; HOWEVER THIS DID NOT RESOLVE THE ISSUE. A BCI FIELD SERVICE ENGINEER (FSE) FOUND THE ALBUMIN CUP DOES NOT DRAIN AND REPLACED THE VALVE FOR THE DRAIN. THE SYSTEM DID NOT DRAIN. FSE DISCOVERED THE DRAIN LINE WAS PLUGGED AND PRECEDED WITH CLEANING THE DRAIN LINE WITH BLEACH. THE SYSTEM STARTED TO DRAIN PROPERLY. FSE RECALIBRATED THE LAMP, CALIBRATED REAGENT, AND RAN QC.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) TO REPORT ALBUMIN CUP OVERFILLING AFTER PERFORMING THE CUP MAINTENANCE. NO INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON LX 20 PRO CLINICAL SYSTEMS CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. LX-20 PRO N/A

Patients

Seq Age Sex Outcome Treatment
1