FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 SYNCHRON® CLINICAL SYSTEM (PACKAGED)

MDR report key: 2232114 · Received September 1, 2011

Report

Report Number
2050012-2011-04974
Event Type
Malfunction
Date Received
September 1, 2011
Date of Event
August 4, 2011
Report Date
August 4, 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
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WENT ON-SITE (B)(6) 2011 AND FOUND THAT LEAK WAS COMING FROM A VALVE IN THE HYDROPNEUMATIC VALVE MODULE. FSE REPLACED THE VALVE, THE REGULATOR AND THE DI (DEIONIZED) FLOAT SWITCH. FSE PRIMED UNIT 20 TIMES AND NO LEAK WAS OBSERVED. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) REGARDING A LEAK THAT WAS OBSERVED ON THE FLOOR UNDERNEATH THE UNICEL DXC 600 SYNCHRON CLINICAL SYSTEM. THE CUSTOMER OPENED HYDROPNEUMATIC DRAWER AND OBSERVED LEAKED MATERIAL IN LEFT FRONT OF HYDROPNEUMATIC COMPARTMENT. NATURE OF THE LEAKED MATERIAL WAS UNKNOWN. NO INJURY OR EXPOSURE 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 (PACKAGED) NA

Patients

Seq Age Sex Outcome Treatment
1