FDA Adverse Event Malfunction Summary report: N

J2-HS CENTRIFUGE

MDR report key: 2128419 · Received June 16, 2011

Report

Report Number
2050012-2011-02273
Event Type
Malfunction
Date Received
June 16, 2011
Date of Event
May 24, 2011
Report Date
May 24, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JQC
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SERVICE WAS DISPATCHED AND THE FIELD SERVICE ENGINEER (FSE) REPLACED THE HAND LATCH INTERLOCK ASSEMBLY, WHICH HAD FAILED. REPETITIVE ATTEMPTS AT OPENING THE CENTRIFUGE DOOR WHILE THE DOOR LATCH WAS ENGAGED CAUSED TO LATCH HANDLE TO ULTIMATELY BEND AND BECOME INOPERABLE. RECURRING CUSTOMER TRAINING AND SIGNAGE HAD PREVIOUSLY BEEN APPLIED TO THE DEVICE TO ATTEMPT TO REDUCE THIS USE ERROR. THE INSTRUMENT INVOLVED IN THIS EVENT IS NOT CLASSIFIED AS A MEDICAL DEVICE BY THE FOOD & DRUG ADMINISTRATION. HOWEVER, THE INTERLOCK ASSEMBLY INVOLVED WITH THIS EVENT IS UTILIZED ON THE FOLLOWING BECKMAN COULTER INC. MEDICAL DEVICES: J6-MI CENTRIFUGE PRODUCT NUMBER (B)(4). J6-MI CENTRIFUGE PRODUCT NUMBER(B)(4). J6-MI CENTRIFUGE PRODUCT NUMBER (B)(4). J6-MI CENTRIFUGE PRODUCT NUMBER (B)(4). J6-MI CENTRIFUGE PRODUCT NUMBER (B)(4). J6-MI CENTRIFUGE PRODUCT NUMBER (B)(4). THESE DEVICES POSSESS PRODUCT CLASSIFICATIONS OF JQC, CENTRIFUGES (MICRO, ULTRA, REFRIGERATED) FOR CLINICAL USE AND ARE 510K CLASS I EXEMPT DEVICES.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THEY WERE ABLE TO OPEN THE DOOR OF A J2-HS ENCORE CENTRIFUGE WHILE THE ROTOR WAS STILL SPINNING. THERE WAS NO PERSONNEL CONTACT WITH THE ROTOR. THERE WERE NO DEATHS OR SERIOUS INJURIES ASSOCIATED WITH THIS EVENT. NO ONE REQUIRED MEDICAL TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 J2-HS CENTRIFUGE NOT A MEDICAL DEVICE JQC BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1