FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 SYNCHRON® CLINICAL SYSTEM

MDR report key: 2221886 · Received August 24, 2011

Report

Report Number
2050012-2011-04739
Event Type
Malfunction
Date Received
August 24, 2011
Date of Event
January 24, 2011
Report Date
January 24, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BEC CTS (CUSTOMER TECHNICAL SUPPORT) WORKED WITH THE CUSTOMER AND FOUND THE SAMPLE SYRINGE WOULD NOT TIGHTEN (THE SYRINGE BARREL TURNED 360° WITHOUT TIGHTENING). THE CUSTOMER REPLACED THE SAMPLE ROD AND REMOVED SYRINGE ASSY AND INSPECTED THREADS ON 3 WAY VALVE AND BARREL - NO PROBLEMS WERE NOTED. THE CUSTOMER INSTALLED SYRINGE AND IT TIGHTENED PROPERLY, CC SAMPLE PROBE WAS PRIMED 5 TIMES WITH NO LEAKS. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) STATING THE CARTRIDGE CHEMISTRY (CC) SAMPLE PROBE IN THE UNICEL DXC 800 SYNCHRON CLINICAL SYSTEM WAS LEAKING ON THE REACTION WHEEL COVER. NO INJURY WAS REPORTED AND NO ERRONEOUS RESULTS WERE GENERATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 800 SYNCHRON® CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. DXC 800 NA

Patients

Seq Age Sex Outcome Treatment
1