FDA Adverse Event Malfunction Summary report: N

UNICEL® DXI 600 ACCESS® IMMUNOASSAY ANALYZER

MDR report key: 2110549 · Received June 1, 2011

Report

Report Number
2122870-2011-01636
Event Type
Malfunction
Date Received
June 1, 2011
Date of Event
May 3, 2011
Report Date
May 3, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K023764
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER WAS NOT QUESTIONING ANY PATIENT RESULTS. NO SYSTEM PERFORMANCE INFORMATION WAS SUPPLIED BY THE CUSTOMER. SERVICE WAS DISPATCHED AND ON-SITE FOR THIS EVENT ON (B)(4) 2011, AND THE FIELD SERVICE ENGINEER (FSE) FOUND LEAK IN HYDRO. THE FSE REPLACED THE WASH BUFFER PERI-PUMP TUBING. HARDWARE WAS THE ROOT CAUSE FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER, INC (BCI) IN REGARDS TO A LEAK FROM UNICEL DXI 600 ACCESS IMMUNOASSAY SYSTEM. THE CUSTOMER STATED THAT THE LEAK WAS IN THE PERISTALTIC PUMP AREA OF THE INSTRUMENT, ON TOP OF THE WASTE BOTTLES. THE CUSTOMER HAS A FLOOR DRAIN, AND HAD BEEN WIPING UP FLUID WEARING PPE. THE CUSTOMER ALSO HAS AN EXPOSURE PLAN IN PLACE FOR THE LAB. THERE WAS NO REPORT OF INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXI 600 ACCESS® IMMUNOASSAY ANALYZER DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER JJE BECKMAN COULTER, INC. DXI 600 NA

Patients

Seq Age Sex Outcome Treatment
1