FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 SYNCHRON® CLINICAL SYSTEM

MDR report key: 2172706 · Received July 22, 2011

Report

Report Number
2050012-2011-03330
Event Type
Malfunction
Date Received
July 22, 2011
Date of Event
June 15, 2011
Report Date
June 15, 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
TX, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ON (B)(4) 2011, BEC FIELD SERVICE ENGINEER (FSE) FOUND THE CAP-PIERCER NOT FUNCTIONING CORRECTLY. THE BLADE WASH STATION SEAL SHUTTLE WAS NOT MOVING CORRECTLY BACK-AND-FORTH ON THE CAP PIERCER ALIGNMENT ARM. THE FSE REPLACED ASSOCIATED PARTS: TS-CTS ARM ASSEMBLY, ELBOW SWIVEL FITTING, CAM FOLLOWER ASSEMBLY, AND NEW WASH STATION SEAL SHUTTLE WITH A NEW QUAD RING. THE PART REPLACEMENTS RESOLVED THE LEAK ISSUE. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER, INC. (BEC) TO REPORT A PROBE OBSTRUCTION ERROR ON A UNICEL DXC 600 SYNCHRON CLINICAL SYSTEM THAT WERE CAUSED BY THE CAP PIERCER. THE BLADE CAME DOWN ON THE BLACK PLATFORM WHERE THE BLADE IS WASHED AND BROKE THE SEAL ON THE WASH STATION CAUSING WASH SOLUTION TO LEAK. THE CUSTOMER STATED THERE WAS NO EXPOSURE AND MEDICAL ATTENTION WAS NOT SOUGHT. NO EFFECT TO PATIENT OR OPERATOR WAS REPORTED IN CONNECTION WITH THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1