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 |