FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON ® CHEMISTRY ANALYZER

MDR report key: 2042742 · Received April 6, 2011

Report

Report Number
2050012-2011-00970
Event Type
Malfunction
Date Received
April 6, 2011
Date of Event
March 4, 2011
Report Date
March 4, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K060256
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PER CUSTOMER, THE LEAK WAS OBSERVED AT THE GLUM CUP AFTER PERFORMING CUP MAINTENANCE. A BCI FIELD SERVICE ENGINEER (FSE) CLEANED RETAINER AND PORT WITH DI WATER. PUT EXISTING GLUCOSE SENSOR BACK ON ANALYZER. NO LEAKING OBSERVED. FSE PRIMED GLUM AND OBSERVED PROPER FILLING AND STIRRING. CALIBRATED GLUCOSE SENSOR. FSE STATED THAT THE CUSTOMER HAD SMALL AMOUNT OF REAGENT DRIP FROM AROUND RETAINER. FSE CALIBRATED THE GLUCOSE SENSOR AND VERIFIED INSTRUMENT PERFORMANCE PER ESTABLISHED PROCEDURE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO GLUCOSE CUP LEAK ON THE UNICEL DXC 600I SYNCHRON CHEMISTRY ANALYZER. NO INJURY OR EXPOSURE TO BIOHAZARDOUS MATERIALS WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600I SYNCHRON ® CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. DXC 600I N/A

Patients

Seq Age Sex Outcome Treatment
1