FDA Adverse Event Malfunction Summary report: N

COULTER® HMX HEMATOLOGY ANALYER WITH AUTOLOADER

MDR report key: 2301596 · Received October 20, 2011

Report

Report Number
1061932-2011-01878
Event Type
Malfunction
Date Received
October 20, 2011
Date of Event
August 4, 2011
Report Date
August 4, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
GKZ
PMA / PMN Number
K010765
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED ON (B)(4) 2011. THE FSE REPLACED THE PROBE WIPE CYLINDER AND SPRING, CLEANED AND LUBED THE BALL SLIDE. REASSEMBLED AND VERIFIED REPAIR. SYSTEM WAS VALIDATED. PER LABELING, BECKMAN COULTER URGES ITS CUSTOMERS TO COMPLY WITH ALL NATIONAL HEALTH AND SAFETY STANDARDS SUCH AS THE USE OF BARRIER PROTECTION. THIS MAY INCLUDE, BUT IS NOT LIMITED TO, WEARING PROTECTIVE EYE WEAR, GLOVES, AND SUITABLE LABORATORY ATTIRE WHEN OPERATING OR MAINTAINING THIS INSTRUMENT OR ANY OTHER AUTOMATED LABORATORY ANALYZER. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER, INC. (BEC) TO REPORT THAT THE SECONDARY PROBE ON THE COULTER HMX HEMATOLOGY ANALYZER WITH AUTOLOADER (AL) WAS LEAKING. THE CUSTOMER WAS WEARING GLOVES AND A LAB COAT AT THE TIME OF THE EVENT. THERE WAS NO REPORT OF CONTACT WITH MUCOUS MEMBRANES OR OPEN WOUNDS. THE CUSTOMER STATED THAT NO SAMPLES WERE COMPROMISED AS A RESULT OF THE LEAK. THERE WAS NO DEATH, INJURY OR CHANGE TO PATIENT TREATMENT AS A RESULT OF THIS INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COULTER® HMX HEMATOLOGY ANALYER WITH AUTOLOADER COUNTER, DIFFERENTIAL CELL GKZ BECKMAN COULTER, INC. HMX WITH AUTOLOADER NA

Patients

Seq Age Sex Outcome Treatment
1