FDA Adverse Event Malfunction Summary report: N

SYNCHRON CX9 ALX CLINICAL SYSTEM

MDR report key: 2091507 · Received May 17, 2011

Report

Report Number
2050012-2011-01592
Event Type
Malfunction
Date Received
May 17, 2011
Date of Event
April 19, 2011
Report Date
April 19, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K950958
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WENT ON-SITE (B)(4) 2011 AND CLEANED THE SPILLAGE. FSE COULD NOT FIND THE CAUSE OF THE LEAK BUT CLEANED THE DRAIN SYSTEM. THERE WERE NO FURTHER COMPLAINTS TO DATE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) STATING THE SYNCHRON CX9 ALX CLINICAL SYSTEM WAS LEAKING FROM THE HYDROCANISTER AREA AND FRONT OF THE INSTRUMENT ON THE FLOOR. PER CUSTOMER, THE LEAK APPEARED TO BE CREATININE (CRE) REAGENT. NO INJURY WAS REPORTED AND NO ERRONEOUS RESULTS WERE GENERATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON CX9 ALX CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1