FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC SYNCHRON ® CHEMISTRY ANALYZER

MDR report key: 2160891 · Received July 13, 2011

Report

Report Number
2050012-2011-02994
Event Type
Malfunction
Date Received
July 13, 2011
Date of Event
June 11, 2011
Report Date
June 11, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K060256
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ON (B)(6) 2011, A BEC FIELD SERVICE ENGINEER FOUND THE WASH SYRINGE WAS BROKEN. FSE PERFORMED PMC PER CHECKLIST AND INSTALLED NEW WASH SYRINGE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC (BEC) TO REPORT ON A BROKEN WASH SYRINGE ON THE UCTA THAT LEAKED WHILE CHANGING THE WASH BUFFER SUPPLY. THE CUSTOMER WORE A PPE AND USED ABSORBENT MATERIALS TO CLEAN THE SPILL. NO INJURY OR EXPOSURE WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC SYNCHRON ® CHEMISTRY ANALYZER DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER FOR CLINICAL USE. JJE BECKMAN COULTER INC. DXC 600I N/A

Patients

Seq Age Sex Outcome Treatment
1