FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2070066 · Received April 26, 2011

Report

Report Number
2050012-2011-01309
Event Type
Malfunction
Date Received
April 26, 2011
Date of Event
March 27, 2011
Report Date
March 27, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER TECHNICAL SUPPORT DIRECTED THE CUSTOMER TO CLEAN THE DI LID. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON (B)(4) 2011 AND CLEANED THE DI WATER CAP AND ALSO CHECKED FOR BENDS IN THE LINE; ALL LINES WERE OPERATING PROPERLY. THE FSE PERFORMED A FLOW CHECK AND DETERMINED THAT THE FLOW RATE FROM THE EXTERNAL WATER SOURCE TO THE INSTRUMENT WAS TOO SLOW. THE FSE DID NOT IDENTIFY SOURCE OF YELLOW CRYSTAL BUILDUP OR DETERMINE THE IDENTITY OF THE CRYSTALS.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) STATING THAT THE UNICEL DXC 800 PRO SYNCHRON CHEMISTRY ANALYZER WAS GENERATING DI WATER RESERVOIR NOT FILLING ERRORS AND WHILE TROUBLESHOOTING DISCOVERED A YELLOW CRYSTAL BUILDUP ON THE LID OF THE DI WATER RESERVOIR. NO INJURY OR OPERATOR EXPOSURE WAS REPORTED FOR THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1