FDA Adverse Event Summary report: N

UNICEL DXI WASH BUFFER II

MDR report key: 2060438 · Received April 17, 2011

Report

Report Number
2122870-2011-01020
Date Received
April 17, 2011
Date of Event
March 17, 2011
Report Date
March 17, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO ADDITIONAL INFORMATION WAS PROVIDED. NO ROOT CAUSE WAS DETERMINED FOR THE LEAKING WITH THE INFORMATION SUPPLIED.

Description of Event or Problem · 1

A CUSTOMER REPORTED TO BECKMAN COULTER INC. (BCI) THAT THEY RECEIVED ONE DXI WASH BUFFER II CUBETAINER THAT LEAKED. THE ONE LEAKING CUBETAINER AFFECTED THE OTHER ELEVEN BOXES OF WASH BUFFER II ON THE PALETTE. NO INJURY HAS BEEN REPORTED IN CONNECTION WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL DXI WASH BUFFER II WASH BUFFER II, JJE BECKMAN COULTER INC. N/A 331766F

Patients

Seq Age Sex Outcome Treatment
1