FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM

MDR report key: 2165850 · Received July 17, 2011

Report

Report Number
2050012-2011-03214
Event Type
Malfunction
Date Received
July 17, 2011
Date of Event
June 16, 2011
Report Date
June 16, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K060256
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER IDENTIFIED THE SOURCE OF LEAK AS DISCONNECTED TUBING WITHIN THE ISE MODULE BUT WAS UNABLE TO RECONNECT THE TUBING AND A SERVICE REQUEST WAS GENERATED BY BEC CTS (CUSTOMER TECHNICAL SUPPORT). THE CUSTOMER LATER CALLED BEC CTS AND CANCELED THE SERVICE REQUEST SINCE THEY WERE ABLE TO RECONNECT TUBING THAT WAS LEAKING AND PERFORMED CALIBRATION AND QC. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) REPORTING THAT A LARGE AMOUNT OF FLUID WAS POOLING UNDER THE ISE (ION-SELECTIVE ELECTRODE) AREA ON THE DRAIN TRAY IN THE UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM AND OVERFLOWING THE TRAY. NO INJURY WAS REPORTED AND NO ERRONEOUS RESULTS WERE GENERATED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1