FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM

MDR report key: 2143418 · Received June 29, 2011

Report

Report Number
2050012-2011-02520
Event Type
Malfunction
Date Received
June 29, 2011
Date of Event
May 30, 2011
Report Date
May 30, 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
IA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON (B)(4) 2011. THE FSE REPLACED THE NO FOAM CONTAINER AND ADJUSTED THE BOTTLE SENSOR AND VERIFIED REPAIR PER ESTABLISHED PROCEDURES. HARDWARE IS THE ROOT CAUSE FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) AND REPORTED THAT THEY WERE EXPERIENCING A NO FOAM LEAK FROM THE TOP OF THE BOTTLE AND NO FOAM LEVEL WAS CONTINUOUSLY DROPPING BELOW 10%. THE ISSUE IS ASSOCIATED WITH THE UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEM. A CUSTOMER TECHNICAL SUPPORT (CTS) GENERATED A SERVICE REQUEST. NO INJURY WAS REPORTED ON THIS ISSUE.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1