FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 SYNCHRON® CLINICAL SYSTEM

MDR report key: 2060324 · Received April 15, 2011

Report

Report Number
2050012-2011-01155
Event Type
Malfunction
Date Received
April 15, 2011
Date of Event
March 18, 2011
Report Date
March 18, 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
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SERVICE VISITED ON (B)(4) 2011. THE FIELD SERVICE ENGINEER (FSE) REPLACED THE MC SAMPLE PROBE WASH COLLAR. THE FSE ALSO FOUND THE VACUUM VALVE FOR THE MC SAMPLE PROBE WASH COLLAR PLUGGED UP. THE FSE CLEARED IT AND THE ISSUE WAS RESOLVED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO A FLUID LEAK ON UNICEL DXC 800 SYNCHRON CLINICAL SYSTEM. THE CUSTOMER STATED THAT MODULAR CHEMISTRY (MC) COLLAR WASH WAS LEAKING. THERE WAS NO EFFECT TO PATIENT OR USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 800 SYNCHRON® CLINICAL SYSTEM CLINICAL CHEMSTRY ANALYZER JJE BECKMAN COULTER, INC. DXC 800 NA

Patients

Seq Age Sex Outcome Treatment
1