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 |