FDA Adverse Event Malfunction Summary report: N

SYNCHRON LX®I 725 SYSTEM

MDR report key: 2103085 · Received May 25, 2011

Report

Report Number
2050012-2011-01891
Event Type
Malfunction
Date Received
May 25, 2011
Date of Event
April 25, 2011
Report Date
April 25, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JGS
PMA / PMN Number
K023049
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
MEDICAL TECHNOLOGIST

Narratives

Additional Manufacturer Narrative · 1

BCI FIELD SERVICE ENGINEER (FSE) REPLACED THE AUTOGLOSS TUBING AND THE LEVEL SENSE BEAD, THEN VERIFIED REPAIRS.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) TO REPORT THE SYNCHRON LXI 725 SYSTEM'S CAP PIERCER WICK WAS NOT GETTING LUBRICATED WITH AUTOGLOSS AND THAT THE LINEAR PUMP TUBING APPEARED TO BE THE CAUSE OF THE LEAK. NO EFFECT TO PATIENT OR USER WAS REPORTED IN CONNECTION WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON LX®I 725 SYSTEM CLINICAL CHEMISTRY ANALYZER JGS BECKMAN COULTER INC. LXI 725 NA

Patients

Seq Age Sex Outcome Treatment
1