FDA Adverse Event Malfunction Summary report: N

SYNCHRON® LX20 PRO CLINICAL SYSTEM

MDR report key: 2250215 · Received September 15, 2011

Report

Report Number
2050012-2011-05280
Event Type
Malfunction
Date Received
September 15, 2011
Date of Event
August 18, 2011
Report Date
August 18, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K011213
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

QC HAD BEEN WITHIN THE ESTABLISHED RANGES. THE INSTRUMENT WAS SHOWING REAGENT PROBE B LEVEL SENSE ERRORS AND "COMPARTMENT C NOT EMPTY" ON TRIGLYCERIDE TEST ALTHOUGH THE CARTRIDGE WAS PROPERLY PREPARED AND THE COMPARTMENT C WAS EMPTY. THE CUSTOMER FOUND LIQUID UNDER THE TRAY OVER THE REAGENT CAROUSEL AREA, AND BOTTOM OF THE COLLAR WASH FOR REAGENT PROBE B. ON (B)(4) 2011, BEC FIELD SERVICE ENGINEER (FSE) PERFORMED SERVICE ON THE INSTRUMENT. THE FSE REPLACED THE LEVEL SENSE BEAD AND PERFORMED ALL NECESSARY ALIGNMENTS. THE FSE VERIFIED REPAIR PER ESTABLISHED PROCEDURES. (B)(4).

Description of Event or Problem · 1

A CUSTOMER REPORTED TO BECKMAN COULTER, INC. (BEC) THAT ERROR MESSAGES AND FLUID LEAKS WERE OBSERVED ON SYNCHRON LX20 PRO CLINICAL SYSTEM. BEC CUSTOMER TECHNICAL SUPPORT (CTS) ASKED THE CUSTOMER TO DISABLE THE CARTRIDGE CHEMISTRY SIDE OF THE INSTRUMENT. THE CUSTOMER INDICATED THAT NO ERRONEOUS RESULTS WERE GENERATED AND PATIENT TREATMENT WAS NOT AFFECTED. MSDS WAS NOT REVIEWED, BUT THE FACILITY HAS AN EXPOSURE CONTROL PLAN. THE OPERATOR DID NOT SEEK MEDICAL ATTENTION AND THERE WAS NO EFFECT TO PATIENT OR USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON® LX20 PRO CLINICAL SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER, INC. LX20 PRO NA

Patients

Seq Age Sex Outcome Treatment
1