FDA Adverse Event Malfunction Summary report: N

UNICEL ¿ DXI 800 ACCESS ® IMMUNOASSAY SYSTEM

MDR report key: 2152390 · Received July 7, 2011

Report

Report Number
2122870-2011-01972
Event Type
Malfunction
Date Received
July 7, 2011
Date of Event
June 7, 2011
Report Date
June 7, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K023764
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER DID NOT QUESTION ASSAYS OR PATIENT RESULTS. ON (B)(4) 201 A BEC FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED AND FOUND A DEFECTIVE WASH BUFFER RESERVOIR FLOAT SENSOR. FSE REPLACED FLOAT SENSOR AND VERIFIED SYSTEM PERFORMANCE TO PUBLISHED SPECIFICATIONS.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) TO REPORT A FLUID LEAK UNDER THE INTERNAL WASH BUFFER RESERVOIR ON THE UNICEL DXI800 ACCESS IMMUNOASSAY ANALYZER. THE CUSTOMER ALSO REPORTED TO HAVE RECEIVED WASH BUFFER TO UPPER RESERVOIR FAILURE ERROR MESSAGE. THE CUSTOMER IS UNABLE TO GET THE INSTRUMENT TO SYSTEM INITIALIZE INTO READY. THE CUSTOMER WORE PERSONAL PROTECTIVE EQUIPMENT. NO INJURY OR EXPOSURE WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL ¿ DXI 800 ACCESS ® IMMUNOASSAY SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER FOR CLINICAL USE JJE BECKMAN COULTER INC. N/A N/A

Patients

Seq Age Sex Outcome Treatment
1