FDA Adverse Event Malfunction Summary report: N

UNICEL® DXI 800 ACCESS® IMMUNOASSAY SYSTEM

MDR report key: 2093995 · Received May 18, 2011

Report

Report Number
2122870-2011-01276
Event Type
Malfunction
Date Received
May 18, 2011
Date of Event
April 20, 2011
Report Date
April 20, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K023764
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER IS NOT QUESTIONING ASSAYS OR PATIENT RESULTS. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON (B)(4) 2011. THE FSE FOUND LEAKING LIQUID WASTE AND WASH BUFFER TRANSFER TUBING. THE FSE REPLACED LEAKING TUBING AND 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 BACK LEFT SIDE OF THE UNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM. PER CUSTOMER, THERE WAS NO EXPOSURE TO THE LEAKING FLUIDS. NO INJURIES WERE REPORTED BY THE CUSTOMER.

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 N/A

Patients

Seq Age Sex Outcome Treatment
1