FDA Adverse Event Malfunction Summary report: N

SYNCHRON CX9 ALX

MDR report key: 2132937 · Received June 17, 2011

Report

Report Number
2050012-2011-02290
Event Type
Malfunction
Date Received
June 17, 2011
Date of Event
May 18, 2011
Report Date
May 18, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJC
PMA / PMN Number
K950958
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON (B)(4) 2011. THE FSE FOUND THAT THE LEAKING IS COMING FROM TOP OF WASTE CANISTER. THE FSE FOUND BUCKET WITH A LOT OF GROWTH AND WASTE LINES CLOGGED. THE FSE CLEANED THE GROWTH IN THE WASTE BUCKET AND FLUSHED WASTE LINES WITH BLEACH. THE FSE PRIMED THE SYSTEM AND RAN SAMPLES WITH NO FURTHER LEAKS. THE CLOGGED WASTE LINES IS THE ROOT CAUSE FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC., (BCI) AND REPORTED THAT THEY RECEIVED "DILUTED WASH BOTTLE NOT FILLING AND LEAKING" ERROR, AND SYNCHRON CX9 ALX INSTRUMENT IS LEAKING. NO INJURY WAS REPORTED IN CONNECTION WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON CX9 ALX CLINICAL CHEMISTRY ANALYZER JJC BECKMAN COULTER INC. CX9 ALX NA

Patients

Seq Age Sex Outcome Treatment
1