FDA Adverse Event Malfunction Summary report: N

UNICEL ¿ DXI 800 ACCESS ® IMMUNOASSAY SYSTEM

MDR report key: 2152626 · Received July 7, 2011

Report

Report Number
2122870-2011-01975
Event Type
Malfunction
Date Received
July 7, 2011
Date of Event
June 8, 2011
Report Date
June 8, 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
TN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ON (B)(4) 2011, A BEC FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED AND REPLACED WASH BUFFER TUBING AND A LIQUID WASTE TUBING WITHIN THE FLUIDICS DRAWER. FSE PRIMED THE INSTRUMENT AND NO ISSUES WERE NOTED. HARDWARE IS THE ROOT CAUSE FOR THIS EVENT.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) TO REPORT OBSERVING A MINIMAL FLUID LEAK ONTO THE FLOOR UNDERNEATH THE UNICEL DXI800 ACCESS IMMUNOASSAY ANALYZER. THE CUSTOMER STOPPED THE INSTRUMENT FROM FURTHER SAMPLE PROCESSING. 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