FDA Adverse Event Malfunction Summary report: N

SYNCHRON® CX9 ALX CLINICAL SYSTEM

MDR report key: 2110785 · Received June 1, 2011

Report

Report Number
2050012-2011-02072
Event Type
Malfunction
Date Received
June 1, 2011
Date of Event
May 4, 2011
Report Date
May 4, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K950958
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SF
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BCI SENT THE CUSTOMER A REAGENT REPLACEMENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) TO REPORT THE WASH CONCENTRATE BOTTLE LEAKED ON THE SYNCHRON CX9 ALX INSTRUMENT. NO INJURY WAS REPORTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON® CX9 ALX CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. CX9 ALX NA

Patients

Seq Age Sex Outcome Treatment
1