FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM

MDR report key: 2001961 · Received February 27, 2011

Report

Report Number
2050012-2011-00563
Event Type
Malfunction
Date Received
February 27, 2011
Date of Event
January 26, 2011
Report Date
January 26, 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
IA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER FOUND THAT THE TUBING WHICH PLUGS INTO TOP OF NO FOAM BOTTLE WAS LOOSE. ADDITIONAL FLUID LEAKED AFTER THE CUSTOMER REMOVED TUBING FROM NO FOAM BOTTLE DURING PHONE CALL TO BCI CUSTOMER TECHNICAL SUPPORT. THE CUSTOMER CUT AND RE-FIT THE TUBING TO NO FOAM BOTTLE. THE CUSTOMER WAS INSTRUCTED TO CALL BACK IF THE ISSUE CONTINUED. AS OF 02/02/2011, THE CUSTOMER HAD NOT CALLED REGARDING THIS ISSUE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER, INC. (BCI) IN REGARDS TO A FLUID LEAK ON UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEM. NO OPERATOR EXPOSURE WAS NOTED AND THERE WAS NO EFFECT TO PATIENT OR USER.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1