FDA Adverse Event Malfunction Summary report: N

CELL-DYN 1700 ANALYZER

MDR report key: 2072185 · Received April 28, 2011

Report

Report Number
2919069-2011-00187
Event Type
Malfunction
Date Received
April 28, 2011
Date of Event
April 5, 2011
Report Date
April 5, 2011
Manufacturer
ABBOTT DIAGNOSTICS DIVISION
Product Code
GKZ
PMA / PMN Number
K870233
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). A FIELD SERVICE REPRESENTATIVE (FSR) WAS DISPATCHED TO THE ACCOUNT. THE FSR NOTICED THAT THE INTERNAL MONITOR WAS DISCONNECTED, BUT IT WAS ENCLOSED BY DESIGN. THE FSR DID NOT NOTICE ANYTHING INDICATING FIRE OR SMOKE. THE FSR INSPECTED THE MONITOR AND DID NOT NOTICE ANY BURN, SOOT, OR SCORCHED MARKS. THE LIKELY SOURCE OF THE ISSUE WAS THE ENCLOSED MONITOR. CUSTOMER COMPLAINT DATA WAS REVIEWED AND NO ADVERSE TRENDS WERE IDENTIFIED. THE CELL-DYN 1700 SYSTEM OPERATIONS MANUAL WAS REVIEWED AND WAS FOUND TO ADEQUATELY ADDRESS THE ISSUE. THE RISK MANAGEMENT FILE INDICATES THAT SYSTEM COMPONENTS ARE A POTENTIAL SOURCE OF BURNS, FIRE, OR SMOKE. CONTROLS IN PLACE TO REDUCE THE RISK ARE COVERS, OVER-CURRENT PROTECTION, FUSING, INSTRUCTIONS, SAFETY ICONS, AND HAZARD WARNING LABELS. THE INVESTIGATION DID NOT IDENTIFY A PRODUCT DEFICIENCY.

Additional Manufacturer Narrative · 1

(B)(4). AN INVESTIGATION IS IN PROCESS. A FOLLOWUP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

THE ACCOUNT STATED THAT THE MONITOR ON THE CELLDYN 1700 ANALYZER MADE A POPPING SOUND AND SMOKE CAME OUT OF THE TOP SEAM OF THE ANALYZER. THE ANALYZER WAS SUBSEQUENTLY UNPLUGGED. NO ONE WAS INJURED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CELL-DYN 1700 ANALYZER AUTOMATED HEMATOLOGY ANALYZER GKZ ABBOTT DIAGNOSTICS DIVISION

Patients

Seq Age Sex Outcome Treatment
1