FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC SYNCHRON ® CHEMISTRY ANALYZER

MDR report key: 2213758 · Received August 17, 2011

Report

Report Number
2050012-2011-04568
Event Type
Malfunction
Date Received
August 17, 2011
Date of Event
July 17, 2011
Report Date
July 17, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ON (B)(4) 2011, A BEC FIELD SERVICE ENGINEER (FSE) FOUND NO FOAM LEAKED AT THE RIGHT SINGLE FITTING AND THE TUBING AT THAT END WAS LOOSE, WHICH DRIPPED NO FOAM. FSE REPLACED THE TUBING, WHICH RESOLVED THE LEAK ISSUE. FSE CLEANED: THE NO FOAM REAGENT SPILL ON THE HYDRO CHASSIS. THE FLOOR AROUND THE INSTRUMENT. THE INSTRUMENT BOTTOM CHASSIS. FSE LOADED NEW NO FOAM REAGENT AND PRIMED THE SYSTEM. THE CUSTOMER PERFORMED DAILY MAINTENANCE WITH NO ISSUES WERE NOTED. TESTED RUN WITH CONTROLS, WHICH WERE ACCEPTABLE AND NO ISSUES WERE NOTED. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC (BEC) TO REPORT INSTRUMENT LEAK ON THE UNICEL DXC 600P SYNCHRON CHEMISTRY ANALYZER THE CUSTOMER COVERED AND CLEANED THE SPILL WITH TOWELS. 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 600 PRO N/A

Patients

Seq Age Sex Outcome Treatment
1