FDA Adverse Event Malfunction Summary report: N

SYNCHRON® LX20 PRO ANALYZER

MDR report key: 2110826 · Received June 1, 2011

Report

Report Number
2050012-2011-01957
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
K011213
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WENT ON-SITE (B)(4) 2011 AND FOUND WASH CONCENTRATE UNDER 4 VALVES. FSE REPLACED TUBING ON ALL FOUR VALVES AND HOMED THE INSTRUMENT. FSE PRIMED THE INSTRUMENT SEVERAL TIMES AND NOTICED WATER COMING OUT OF THE AIR BLEED LINE. FSE INSPECTED THE WASH SOLUTION CONTAINER AND FOUND THAT THE FLOAT SWITCH WAS NOT PLUGGED IN ALL THE WAY AND PLUGGED IT IN PROPERLY. FSE THEN PRIMED THE INSTRUMENT AND CHECKED THE OPERATION OF THE CUVETTE WASH MANIFOLD AND NOTED THAT THE MIDDLE WASH PROBE WAS NOT DISPENSING ANY FLUID. FSE REPLACED VALVE ON THE MANIFOLD, PRIMED THE CUVETTE WASH MANIFOLD AND IT DISPENSED FLUID PROPERLY.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REGARDING A LEAK FROM THE HYDROPNEUMATIC AREA OF THE SYNCHRON LX20 PRO ANALYZER. NO INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON® LX20 PRO ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1