FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM

MDR report key: 2150004 · Received July 5, 2011

Report

Report Number
2050012-2011-02832
Event Type
Malfunction
Date Received
July 5, 2011
Date of Event
June 5, 2011
Report Date
June 5, 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
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

WHEN THE FIELD SERVICE ENGINEER (FSE) ARRIVED ON-SITE (B)(4) 2011, THE BUBBLING HAD STOPPED. THE CUSTOMER ALSO COMPLAINED OF "LOW 17 PSI ERRORS AND BUBBLES COMING OUT OF WASH CONCENTRATE SUPPLY BOTTLE" TO THE FSE AT TIME OF SERVICE. FSE STOPPED AND HOMED THE INSTRUMENT AND EMPTIED THE WASH CONCENTRATE AND WASH SOLUTION CANISTERS. FSE OBSERVED THE SYSTEM SUCCESSFULLY FILL BOTH CANISTERS WITH NO PROBLEMS. REPAIR WAS VERIFIED PER ESTABLISHED PROCEDURES.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) REPORTING THAT THEY WERE HAVING ISSUES WITH THE WASH CONCENTRATE BOTTLE BUBBLING WITH A SMALL CONTAINED OVERFLOW IN THE UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEM. NO INJURY WAS REPORTED AND NO ERRONEOUS RESULTS WERE GENERATED.

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