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 |