FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM

MDR report key: 2119185 · Received June 9, 2011

Report

Report Number
2122870-2011-01697
Event Type
Malfunction
Date Received
June 9, 2011
Date of Event
May 12, 2011
Report Date
May 12, 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
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER NOTED THAT LARGE DIAMETER PERI-PUMP TUBING WAS DISCONNECTED FROM THE INSTRUMENT CAUSING THE LIQUID WASTE LEAK. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON-SITE (B)(4) 2011. FSE FOUND A KINK IN THE EXTERNAL WASTE TUBING. KINK WAS REMOVED AND THE LEAK WAS RESOLVED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REPORTING A LIQUID WASTE LEAK IN THE UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM. THERE WAS NO EXPOSURE TO BIO-HAZARDOUS FLUIDS AND NO ERRONEOUS RESULTS WERE GENERATED.

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