FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CLINICAL SYSTEM

MDR report key: 2140124 · Received June 25, 2011

Report

Report Number
2050012-2011-02629
Event Type
Malfunction
Date Received
June 25, 2011
Date of Event
May 25, 2011
Report Date
May 25, 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
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BCI CTS (CUSTOMER TECHNICAL SUPPORT) HAD THE CUSTOMER REMOVE THE COVERS TO THE WASH STATION AND THE REACTION WHEEL. A FIELD SERVICE ENGINEER (FSE) WENT ON-SITE (B)(4) 2011 AND FOUND THAT 2 PROBES ON THE WASH STATION WERE NOT ASPIRATING WELL AND THE CUVETTES WERE OVERFLOWING OCCASIONALLY. FSE REPLACED THE PROBES AND NO FURTHER LEAK WAS OBSERVED.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REPORTING LIQUID UNDERNEATH THE UNICEL DXC 800 PRO SYNCHRON CLINICAL SYSTEM WHICH APPEARED TO BE WASTE LIQUID. THE CUSTOMER COULD NOT LOCATE THE EXACT SOURCE OF THE LEAK. THE CUSTOMER ALSO INDICATED THE INSTRUMENT WAS GIVING 10 CUVETTES FAILED THE H2O ERRORS. NO INJURY WAS REPORTED AND NO ERRONEOUS RESULTS WERE GENERATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 800 PRO SYNCHRON® CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. DXC 800 PRO NA

Patients

Seq Age Sex Outcome Treatment
1