FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CLINICAL SYSTEMS

MDR report key: 2073481 · Received May 1, 2011

Report

Report Number
2050012-2011-01146
Event Type
Malfunction
Date Received
May 1, 2011
Date of Event
April 1, 2011
Report Date
April 1, 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
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON (B)(4) 2011. THE FSE INSPECTED THE INSTRUMENT AND FOUND MC MANIFOLD WAS LEAKING. THE FSE REPLACED THE MANIFOLD ON NEXT DAY. HARDWARE IS THE ROOT CAUSE FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) AND REPORTED A LEAK UNDER THE MC SIDE OF THE UNICEL DXC 800 PRO SYNCHRON CLINICAL SYSTEM. CUSTOMER WAS UNABLE TO PINPOINT SOURCE OF LEAK. NO INJURY WAS REPORTED ON THIS ISSUE.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1