FDA Adverse Event Malfunction Summary report: N

SYNCHRON LX 20 PRO CLINICAL SYSTEMS

MDR report key: 2020853 · Received March 16, 2011

Report

Report Number
2050012-2011-00742
Event Type
Malfunction
Date Received
March 16, 2011
Date of Event
February 21, 2011
Report Date
February 21, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K011213
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A BCI FIELD SERVICE ENGINEER (FSE) REPLACED THE TUBING.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) TO REPORT THE HYDRO PNEUMATIC ON THE SYNCHRON LX 20 PRO CLINICAL SYSTEM LEAKED AT THE VALVE BANK DUE TO AGED TUBING. 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