FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM

MDR report key: 2003423 · Received March 1, 2011

Report

Report Number
2050012-2011-00594
Event Type
Malfunction
Date Received
March 1, 2011
Date of Event
January 21, 2011
Report Date
January 21, 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
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BCI CUSTOMER TECHNICAL SUPPORT (CTS) ADVISED THE CUSTOMER TO INSPECT THE REAGENT SYRINGE FOR LEAKS AND BUBBLES, AND TO TIGHTEN ALL REAGENT PROBES AND SYRINGE FITTINGS. THE CTS ALSO INSTRUCTED THE CUSTOMER TO REPLACE REAGENT SYRINGE PLUNGER BUT THE ISSUE WAS NOT RESOLVED. BCI FIELD SERVICE ENGINEER VISITED THE SITE ON (B)(4) 2011. THE FSE REPLACED AND CALIBRATED REAGENT PROBE A LEVEL SENSE BEAD TO RESOLVE THE 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. THE CUSTOMER STATED THAT THE INSTRUMENT WAS GIVING LEVEL SENSE ERROR WITH REAGENT PROBE A AND THE REAGENT TRAY WELL FILLED WITH LIQUID. 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