FDA Adverse Event Malfunction Summary report: N

UNICEL® DXL 600 ACCESS® IMMUNOASSAY SYSTEM

MDR report key: 2268350 · Received September 28, 2011

Report

Report Number
2122870-2011-04007
Event Type
Malfunction
Date Received
September 28, 2011
Date of Event
August 31, 2011
Report Date
September 1, 2011
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K023764
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON (B)(4) 2011. THE FSE INSPECTED THE INSTRUMENT AND DISCOVERED A HOLE IN THE WASTE PERI-PUMP TUBING. THE FSE REPLACED THE WASTE PUMP TUBING AND THE WASH BUFFER PUMP TUBING. THE FSE PRIMED THE INSTRUMENT AND NO FURTHER LEAKS WERE DETECTED. HARDWARE IS THE ROOT CAUSE OF THIS EVENT. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC., (BEC) AND REPORTED A LEAK COMING FROM THE UNICEL DXL 600 ACCESS IMMUNOASSAY SYSTEM THAT HAD FORMED A PUDDLE ON THE FLOOR. THE CUSTOMER CEASED USE OF THE INSTRUMENT AND A SERVICE VISIT WAS INITIATED BY BEC HOTLINE. THE LEAK WAS CLEANED UP AND THERE WAS NO INJURY OR EXPOSURE TO THE LEAKED FLUID.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNICEL® DXL 600 ACCESS® IMMUNOASSAY SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER INC. DXI 600 NA

Patients

Seq Age Sex Outcome Treatment
1