FDA Adverse Event Malfunction Summary report: N

UNICEL ¿ DXI 800 ACCESS ® IMMUNOASSAY SYSTEM

MDR report key: 2203211 · Received August 11, 2011

Report

Report Number
2122870-2011-02898
Event Type
Malfunction
Date Received
August 11, 2011
Date of Event
July 12, 2011
Report Date
July 12, 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
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4)

Additional Manufacturer Narrative · 1

ON (B)(6), 2011, A BEC FIELD SERVICE ENGINEER (FSE) DISCOVERED LEAKING WASH BUFFER TRANSFER PERI-PUMP TUBING IN THE FLUIDICS DRAWER. THE FSE REPLACED ALL OF THE PERI-PUMP TUBING. HARDWARE IS THE ROOT CAUSE FOR THIS EVENT. BEC INTERNAL IDENTIFICATION # IS (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) IN REGARDS TO A FLUID LEAK INTO THE WASTE DRAWER UNDER THE UNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM. THE FLUID LEAK FROM THE PERI-PUMPS IS MOST LIKELY WASH BUFFER. CUSTOMER TECHNICAL SUPPORT (CTS) RECOMMENDED THE USE OF PROPER PERSONAL PROTECTIVE EQUIPMENT (PPE) TO CLEAN UP THE SPILL. NO EXPOSURE OR INJURY 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. DXI 800 N/A

Patients

Seq Age Sex Outcome Treatment
1