FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2128292 · Received June 15, 2011

Report

Report Number
2050012-2011-02352
Event Type
Malfunction
Date Received
June 15, 2011
Date of Event
May 20, 2011
Report Date
May 20, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BCI CUSTOMER TECHNICAL SUPPORT (CTS) DIRECTED CUSTOMER TO FLUSH THE CC SAMPLE PROBE. PROBE CONTINUED TO LEAK AFTER PRIMING. CUSTOMER DETERMINED THE CC SAMPLE SYRINGE WAS NOT CONNECTED TO THE 3-WAY VALVE. SYRINGE WAS THEN TIGHTENED AND PRIMED WITH NO LEAKS OBSERVED. CUSTOMER WAS ADVISED TO MONITOR INSTRUMENT AND CALL CTS IF PROBLEM CONTINUED. CUSTOMER CONTACTED BCI CTS TO REPORT THAT THEY WERE UNABLE TO CALIBRATE BUN AND IGM ON CC SIDE. BCI FIELD SERVICE ENGINEER (FSE) WAS ON SITE AND REPLACED THE BROKEN CC SAMPLE SYRINGE AND PERFORMED CALIBRATIONS. REPAIR WAS VERIFIED PER ESTABLISHED PROCEDURES.

Description of Event or Problem · 1

CUSTOMER REPORTED TO BECKMAN COULTER INC. (BCI) OF OBTAINING CC PROBE OBSTRUCTION ERRORS FROM THE UNICEL DXC 600 PRO INSTRUMENT, AND A LEAK UNDER THE CC SAMPLE PROBE. NO REPORTS OF DEATH OR INJURY HAVE BEEN REPORTED IN CONNECTION WITH THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1