FDA Adverse Event Malfunction Summary report: N

SYNCHRON® CX5 DELTA CHEMISTRY ANALYZER

MDR report key: 2221137 · Received August 23, 2011

Report

Report Number
2050012-2011-04726
Event Type
Malfunction
Date Received
August 23, 2011
Date of Event
March 15, 2011
Report Date
March 15, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K881495
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER TURNED OFF THE INSTRUMENT. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED AND DID NOT REPAIR THE INSTRUMENT, AS THE INSTRUMENT WAS DECOMMISSIONED. THE FSE ATTEMPTED TO RECOVER QC DATA AFTER FATAL ERROR IN THE CUSTOMER'S DATABASES, BUT WAS UNABLE TO RECOVER QC FILES. INSTRUMENT WAS RETURNED TO BEC AS INOPERABLE. BEC IDENTIFIER FOR THIS REPORT IS (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) STATING THAT A "BURNING ODOR" WAS DETECTED FROM THE SYNCHRON CX5 DELTA CHEMISTRY ANALYZER AND A "RED STATUS" WAS OBSERVED AT THE POWER SUPPLY (PS) #3. THE CUSTOMER WAS NOT HARMED AND NO TREATMENT WAS NECESSARY DUE TO ODOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON® CX5 DELTA CHEMISTRY ANALYZER CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. CX5 DELTA N/A

Patients

Seq Age Sex Outcome Treatment
1