FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM

MDR report key: 2172711 · Received July 22, 2011

Report

Report Number
2050012-2011-03194
Event Type
Malfunction
Date Received
July 22, 2011
Date of Event
June 14, 2011
Report Date
June 14, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K060256
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

BEC FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON 06/15/2011 FOR THIS EVENT. THE FSE REPLACED THE SYRINGE 3-WAY VALVE AND COLLAR WASH SOLENOID VALVE. (B)(4).

Description of Event or Problem · 1

A CUSTOMER REPORTED TO BECKMAN COULTER, INC. (BEC) A LEAK ON A UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM. SPECIFICALLY, THE CUSTOMER STATED THAT THEY NOTICED A SLOW DRIP THAT APPEARED TO BE COMING FROM THE COLLAR WASH WHICH COULD HAVE AFFECTED QC LEVEL 1 COMING OUT LOW ALTHOUGH NO PATIENT RESULTS WERE INVOLVED. NO ONE WAS EXPOSED TO THE LEAKING FLUID THAT REQUIRED MEDICAL ATTENTION. THE CUSTOMER WAS WEARING A LAB COAT AND GLOVE WHILE TROUBLESHOOTING. 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 600I SYNCHRON® ACCESS® CLINICAL SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER FOR CLINICAL USE JJE BECKMAN COULTER, INC. DXC 600I NA

Patients

Seq Age Sex Outcome Treatment
1