FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2032165 · Received March 29, 2011

Report

Report Number
2050012-2011-00893
Event Type
Malfunction
Date Received
March 29, 2011
Date of Event
February 28, 2011
Report Date
February 28, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A BCI FIELD SERVICE ENGINEER (FSE) FOUND A CRACKED Y FITTING AND BLACK FITTING AT THE BOTTLE. FSE REPLACED WITH SIMILAR TUBING AND PLACED AN ORDER FOR CORRECT FITTING TO BE DELIVERED TO SITE FOR INSTALLATION. THIS MDR IS ASSOCIATED WITH MDR 2050012-2011-00823.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) TO REPORT A HYDRO LEAK AND FLOODING IN THE HYDRO-PNEUMATIC COMPARTMENT. NO INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER, JJE BECKMAN COULTER INC. DXC 800 PRO N/A

Patients

Seq Age Sex Outcome Treatment
1