FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM

MDR report key: 2110829 · Received June 1, 2011

Report

Report Number
2050012-2011-01960
Event Type
Malfunction
Date Received
June 1, 2011
Date of Event
May 5, 2011
Report Date
May 5, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K060256
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WENT ON-SITE (B)(4) 2011, FOUND EXCESSIVE DRIED UP BUILD AND REMOVED CANISTER, CLEANED THOROUGHLY, REPLACED O-RING AND SECURED FITTINGS. FSE REINSTALLED CANISTER AND PRIMED SEVERAL TIMES WITHOUT NOTICEABLE LEAKING. ON (B)(4) 2011, FSE RETURNED AND INSPECTED WASH CONCENTRATE RESERVOIR CANISTER FOR LEAKS, NO LEAKING WAS OBSERVED AFTER CLEANING.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) STATING THAT THE UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM WAS LEAKING FROM THE WASH CONCENTRATE RESERVOIR CANISTER. NO INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1