FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 SYNCHRON® CLINICAL SYSTEM (PACKAGED)

MDR report key: 2091519 · Received May 17, 2011

Report

Report Number
2050012-2011-01585
Event Type
Malfunction
Date Received
May 17, 2011
Date of Event
April 18, 2011
Report Date
April 18, 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
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER USED PPE TO CLEAN THE LEAK, BUT THE INSTRUMENT CONTINUED TO LEAK. A FIELD SERVICE ENGINEER (FSE) WENT ON-SITE (B)(4) 2011 AND FOUND A LINE ON RATIO PUMP HAD POPPED OFF AND WAS GETTING CAUGHT AND PINCHED IN THE ISE DRAWER. FSE REMOVED AND REROUTED THE TUBE WHICH RESOLVED THE ISSUE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) STATING THE HYDRO PAN IN THE UNICEL DXC 600 SYNCHRON CLINICAL SYSTEM WAS LEAKING UNDER BULK REAGENTS. NO INJURY WAS REPORTED AND NO ERRONEOUS RESULTS WERE GENERATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600 SYNCHRON® CLINICAL SYSTEM (PACKAGED) CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1