FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2091510 · Received May 17, 2011

Report

Report Number
2050012-2011-01807
Event Type
Malfunction
Date Received
May 17, 2011
Date of Event
April 16, 2011
Report Date
April 16, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED AND EXAMINED THE INSTRUMENT AND DETERMINED THAT THE ELECTROLYTE INJECTION CUP (EIC) AND THE ISE DRAIN OVERFLOWED DUE TO NO VACUUM AT LINE #15. FURTHER INSPECTION REVEALED THAT LINE #15 WAS CRIMPED UNDER THE GLUCOSE MODULE. THE FSE RE-ROUTED THE TUBING AND VERIFIED REPAIR PER ESTABLISHED PROCEDURES.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) STATING THAT FLUID WAS LEAKING UNDER THE MODULAR CHEMISTRY (MC) COMPARTMENT IN THE UNICEL DXC 600 PRO SYNCHRON CHEMISTRY ANALYZER. THE CUSTOMER STATED THE OPERATOR WAS NOT WEARING GLOVES AND ACCIDENTALLY TOUCHED THE FLUID, WHICH WAS BELIEVED TO BE REAGENT OR WASTE. THE CUSTOMER WASHED HANDS WITH WATER AND DID NOT SEEK MEDICAL ATTENTION.

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 N/A

Patients

Seq Age Sex Outcome Treatment
1