FDA Adverse Event Malfunction Summary report: N

UNICEL® DXI 800 ACCESS® IMMUNOASSAY SYSTEM

MDR report key: 2073499 · Received May 2, 2011

Report

Report Number
2122870-2011-01038
Event Type
Malfunction
Date Received
May 2, 2011
Date of Event
April 1, 2011
Report Date
April 1, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K023764
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO SYSTEM PERFORMANCE INFORMATION WAS PROVIDED BY THE CUSTOMER. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON (B)(4) 2011 AND REPLACED LEAKING WASTE TRANSFER TUBING. THE FSE VERIFIED SYSTEM PERFORMANCE TO PUBLISHED SPECIFICATIONS. HARDWARE IS THE ROOT CAUSE FOR THIS EVENT.

Description of Event or Problem · 1

THE CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI) REGARDING A LEAK FROM THE FLUIDICS DRAWER IN UNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM. THERE WAS NO REPORT OF INJURY TO LAB PERSONNEL AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXI 800 ACCESS® IMMUNOASSAY SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. NA

Patients

Seq Age Sex Outcome Treatment
1