FDA Adverse Event Malfunction Summary report: N

AVANTI JXN-26

MDR report key: 21253421 · Received January 28, 2025

Report

Report Number
3007448124-2025-00001
Event Type
Malfunction
Date Received
January 28, 2025
Date of Event
January 14, 2025
Report Date
April 21, 2025
Manufacturer
BECKMAN COULTER, INC.
Product Code
JQC
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESITGATION IS ONGOING. BEC IS ATTEMPTING TO RETRIEVE THE INSTRUMENT FROM THE CUSTOMER SITE. UPDATES WILL BE SUBMITTED AS NEW INFORMATION BECOMES AVAILABLE. FOLLOW UP 1: SECTION B4 WAS UPDATED TO CLARIFY THAT THE INSTRUMENT INVOLVED IN THE EVENT IS A NON-IVD WITH A SIMILAR MEDICAL DEVICE AND TO DOCUMENT THER WAS NO DEATH, OR INJURY AS A RESULT OF THIS EVENT. FOLLOW UP 2: THE CUSTOMER HAS AGREED TO RETURN THE INSTRUMENT TO THE BECKMAN COULTER MANUFACTURING SITE IN ORDER TO CARRY OUT A THOROUGH INSPECTION. THE CUSTOMER AGREES TO SHIP THE INSTRUMENT WITHIN 60 DAYS. THE CUSTOMER WILL RECEIVE A REPLACEMENT. BEC INTERNAL IDENTIFIER - CASE-(B)(4).

Additional Manufacturer Narrative · 0

FOLLOW UP 03: ONGOING ATTEMPTS HAVE BEEN MADE BY BECKMAN COULTER TO RETRIEVE AND REPLACE THE INSTRUMENT INVOLVED IN THE REPORTED EVENT. WITHOUT INSPECTING THE INSTRUMENT ASSIGNABLE CAUSE CANNOT BE DETERMINED. NO FURTHER UPDATES ARE AVAILABLE WITH THE INFORMATION AVAILABLE. BEC INTERNAL IDENTIFIER - (B)(4).

Additional Manufacturer Narrative · 0

INVESITGATION IS ONGOING. ADDITIONAL INFORMATION REGARDING THE EVENT HAS BEEN REQUESTED. BEC IS ATTEMPTING TO RETRIEVE THE INSTRUMENT FROM THE CUSTOMER SITE. UPDATES WILL BE SUBMITTED AS NEW INFORMATION BECOMES AVAILABLE. FOLLOW UP 1: SECTION B4 WAS UPDATED TO CLARIFY THAT THE INSTRUMENT INVOLVED IN THE EVENT IS A NON-IVD WITH A SIMILAR MEDICAL DEVICE AND TO DOCUMENT THER WAS NO DEATH, OR INJURY AS A RESULT OF THIS EVENT. BEC INTERNAL IDENTIFIER - CASE-(B)(4).

Additional Manufacturer Narrative · 0

INVESITGATION IS ONGOING. ADDITIONAL INFORMATION REGARDING THE EVENT HAS BEEN REQUESTED. A FOLLOW UP REPORT WILL BE SUBMITTED AS NEW INFORMATION BECOMES AVAILABLE. BEC INTERNAL IDENTIFIER - CASE-(B)(4).

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THEIR AVANTI JXN-26 CENTRIFUGE (A NON-IVD INSTRUMENT WITH A SIMILAR MEDICAL DEVICE, ITEM NUMBER B38629) WAS RUNNING AT 7600 RPM (WITH ROTOR JLA-8.1000). A LOUD NOISE WAS HEARD AND THE CENTRIFUGE SHIFTED FROM ITS ORIGINAL POSITION. THE DOOR WAS BROKEN AND OPEN LAUNCHING ONE OF THE CANNISTERS OUT OF THE CENTRIFUGE. THE CUSTOMER WAS CONFIRMED THAT THERE WAS NO DEATH, CAUSTIC OR BIOHAZARD EXPOSURE, OR SERIOUS INJURY ASSOCIATED WITH THIS EVENT. THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THEIR AVANTI JXN-26 CENTRIFUGE (A NON-IVD INSTRUMENT WITH A SIMILAR MEDICAL DEVICE, ITEM NUMBER B38629) WAS RUNNING AT 7600 RPM (WITH ROTOR JLA-8.1000). A LOUD NOISE WAS HEARD AND THE CENTRIFUGE SHIFTED FROM ITS ORIGINAL POSITION. THE DOOR WAS BROKEN AND OPEN LAUNCHING ONE OF THE CANNISTERS OUT OF THE CENTRIFUGE. THE CUSTOMER WAS CONFIRMED THAT THERE WAS NO DEATH, CAUSTIC OR BIOHAZARD EXPOSURE, OR SERIOUS INJURY ASSOCIATED WITH THIS EVENT. THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

THE CUSTOMER REPORTED THAT THEIR AVANTI JXN-26 CENTRIFUGE (A NON-IVD INSTRUMENT) WAS RUNNING AT 7600 RPM (WITH ROTOR JLA-8.1000). A LOUD NOISE WAS HEARD AND THE CENTRIFUGE SHIFTED FROM ITS ORIGINAL POSITION. THE DOOR WAS BROKEN AND OPEN LAUNCHING ONE OF THE CANNISTERS OUT OF THE CENTRIFUGE. THE INFORMATION PROVIDED BY THE CUSTOMER DOES NOT STATE THAT THERE WERE ANY INJURIES. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2398183 AVANTI JXN-26 CENTRIFUGES (MICRO, ULTRA, REFRIGERATED) FOR CLINICAL USE JQC BECKMAN COULTER, INC. AVANTI JXN-26 200V/208V/240V 50/60 HZ 24A-NON-IVD

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown