FDA Adverse Event Summary report: N

UNICEL® DXC 880I SYNCHRON® ACCESS® CLINICAL SYSTEM (FULL SYSTEM)

MDR report key: 2060509 · Received April 18, 2011

Report

Report Number
2050012-2011-01184
Date Received
April 18, 2011
Date of Event
March 17, 2011
Report Date
March 17, 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
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER ATTEMPTED TO RUN HOT WATER THROUGH MODULE BUT THIS DID NOT RESOLVE THE ISSUE. A BCI FIELD SERVICE ENGINEER (FSE) FOUND PHOSPHORUS CUP NOT DRAINING AND REPLACED WASTE VALVE ON CUP MODULE. THIS DID NOT RESOLVE THE ISSUE. FSE REPLACED THE ENTIRE PHOS MODULE TO RESOLVE THE ISSUE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO PHOSPHOROUS MODULE (PHOSM) NOT DRAINING WATER OR REAGENT PROPERLY. NO INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 880I SYNCHRON® ACCESS® CLINICAL SYSTEM (FULL SYSTEM) DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER, JJE BECKMAN COULTER INC. DXC 880I N/A

Patients

Seq Age Sex Outcome Treatment
1