FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 SYNCHRON® CLINICAL SYSTEM (PACKAGED)

MDR report key: 2232113 · Received September 1, 2011

Report

Report Number
2050012-2011-04770
Event Type
Malfunction
Date Received
September 1, 2011
Date of Event
August 5, 2011
Report Date
August 5, 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
AL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER CALLED BEC CTS (CUSTOMER TECHNICAL SUPPORT) AND STATED SHE JUST REPLACED THE POTASSIUM (K) AND CALCIUM (CA) TIP. SHE THEN RAN CALIBRATION AND K AND CA FAILED DUE TO REACTION NOISE. CTS ASKED CUSTOMER IF EVERYTHING WAS RECONNECTED FIRMLY AND CORRECTLY PER PROCEDURES AND ALSO ASKED CUSTOMER TO WEAR PERSONAL PROTECTIVE EQUIPMENT (PPE) AND PRIME ISE FLOW CELL WITH ISE REFERENCE BUFFER 10 TIMES. DURING PRIMING IT WAS DISCOVERED THAT THE CA TIP WAS NOT TIGHTENED ALL THE WAY AND HAD A SLIGHT LEAK. ONCE TIGHTENED, THE CUSTOMER DID NOT HAVE ANY FURTHER LEAKING ISSUES. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) REGARDING A SLIGHT LEAK THAT WAS OBSERVED WHILE TROUBLESHOOTING THE UNICEL DXC 600 SYNCHRON CLINICAL SYSTEM FOR ISE (ION-SELECTIVE ELECTRODE) CALIBRATION ISSUE. NO INJURY WAS REPORTED AND NO ERRONEOUS PATIENT RESULTS WERE GENERATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXC 600 SYNCHRON® CLINICAL SYSTEM (PACKAGED) CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER INC. DXC 600 NA

Patients

Seq Age Sex Outcome Treatment
1