FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2071268 · Received April 27, 2011

Report

Report Number
2050012-2011-01321
Event Type
Malfunction
Date Received
April 27, 2011
Date of Event
March 28, 2011
Report Date
March 28, 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
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON 03/30/2011 AND REPLACED THE NO FOAM ASSEMBLY.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) STATING THAT WHILE CHANGING THE NO FOAM IN THE UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER, ONE OF THE FITTINGS BROKE AND THE NO FOAM SPILLED ON THE HYDRO AND ONTO THE FLOOR.NO INJURY OR OPERATOR EXPOSURE WAS REPORTED FOR THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. DXC 600 PRO NA

Patients

Seq Age Sex Outcome Treatment
1