FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 1981757 · Received February 8, 2011

Report

Report Number
2050012-2011-00397
Event Type
Malfunction
Date Received
February 8, 2011
Date of Event
January 10, 2011
Report Date
January 10, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER FOUND ANOTHER PART AND FITTED IT TO WORK TEMPORARILY. REPLACEMENT OF NO FOAM ASSEMBLY WAS SENT TO THE CUSTOMER. SERVICE WAS NOT DISPATCHED FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO A LEAKAGE ON UNICEL DXC 600 SYNCHRON CHEMISTRY ANALYZER. THE CUSTOMER STATED Y-CONNECTOR BROKE ON NO FOAM JAR LID, AND NO FOAM LEAKED INTO TRAY. THERE WAS NO EFFECT TO PATIENT OR USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600 SYNCHRON® CHEMISTRY ANALYZER CLINICAL CHEMSTRY ANALYZER JJE BECKMAN COULTER, INC. DXC 600 NA

Patients

Seq Age Sex Outcome Treatment
1