FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600 PRO

MDR report key: 2266577 · Received September 28, 2011

Report

Report Number
2050012-2011-05778
Event Type
Malfunction
Date Received
September 28, 2011
Date of Event
August 29, 2011
Report Date
August 29, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

CUSTOMER CALLED TO REPORT THAT THE ELECTROLYTE INJECTION CUP (EIC) ON THE UNICEL DXC 600 WAS OVERFLOWING. THE CUSTOMER TECHNICAL SPECIALIST ASSISTED CUSTOMER WITH TROUBLESHOOTING TO LOOK FOR CLOTS IN THE EIC. NO CLOTS WERE FOUND AND A SERVICE REQUEST WAS GENERATED. ON THE FOLLOWING DAY, THE FIELD SERVICE ENGINEER (FSE) INSPECTED THE INSTRUMENT AND REPLACED THE EIC VALVES, BUT THE LEAKING FROM THE EIC CONTINUED. THE FSE THEN FOUND THAT THE DRAIN LINE WAS CLOGGED WITH UNIDENTIFIABLE MATERIAL. THE FSE REMOVED THE CLOG AND FLUSHED THE LINE. THE FSE THEN TESTED THE ION SELECTIVE ELECTRODE CALIBRATION AND QUALITY CONTROLS OF THE INSTRUMENT TO ENSURE THAT THE SERVICE PERFORMED ON THE INSTRUMENT WAS EFFECTIVE. ALL TEST RESULTS PERFORMED BY THE FSE WERE WITHIN INSTRUMENT SPECIFICATIONS AND THE EIC OVERFLOW ISSUE WAS RESOLVED. CUSTOMER DID NOT REPORT HARM TO PATIENTS OR INSTRUMENT OPERATORS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL DXC 600 PRO ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER, INC. DXC 600

Patients

Seq Age Sex Outcome Treatment
1