FDA Adverse Event Malfunction Summary report: N

SYNCHRON® LX 20 PRO CLINICAL SYSTEMS

MDR report key: 2103129 · Received May 25, 2011

Report

Report Number
2050012-2011-01908
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
JJE
PMA / PMN Number
K011213
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BCI FIELD SERVICE ENGINEER (FSE) FOUND A LEAKING FILTER IN THE HYDRO AND REPLACED THE FILTER AND TUBING.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) TO REPORT THEY FOUND A LEAK COMING FROM THE BACK OF THE SYNCHRON LX20 PRO CLINICAL ANALYZER. THE CUSTOMER DID NOT KNOW WHAT THE LIQUID WAS. EFFECT TO PATIENT OR USER WAS NOT REPORTED IN CONNECTION WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON® LX 20 PRO CLINICAL SYSTEMS CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. LX 20 PRO NA

Patients

Seq Age Sex Outcome Treatment
1