FDA Adverse Event Malfunction Summary report: N

SYNCHRON® LX20 PRO ANALYZER

MDR report key: 2091529 · Received May 17, 2011

Report

Report Number
2050012-2011-01594
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
K011213
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BCI CTS (CUSTOMER TECHNICAL SUPPORT) ASSISTED THE CUSTOMER WITH REPLACING THE WASH TOWER PROBE WIPER. CTS ALSO RECOMMENDED CUSTOMER TO REPLACE REAGENT SYRINGE PLUNGER ROD AND PERFORM CUVETTE WASH PROCEDURE. A FIELD SERVICE ENGINEER (FSE) WENT ON-SITE (B)(4) 2011 BUT COULD NOT DUPLICATE THE LEAK. FSE FOUND THAT VACUUM VALVE WAS NOT OPENING AND CLOSING PROPERLY AND REPLACED IT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING INTERMITTENT CARTRIDGE CHEMISTRY (CC) CUVETTE NOT DRY FLAGS AND LIQUID LEAKING FROM A PROBE ONTO COVER IN THE SYNCHRON LX20 PRO ANALYZER. NO INJURY WAS REPORTED AND NO ERRONEOUS RESULTS WERE GENERATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON® LX20 PRO ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1