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 |