FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM

MDR report key: 2342594 · Received November 18, 2011

Report

Report Number
2050012-2011-07561
Event Type
Malfunction
Date Received
November 18, 2011
Date of Event
October 25, 2011
Report Date
October 26, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K060256
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE BECKMAN COULTER, INC. IDENTIFIER FOR THIS REPORT IS (B)(4).

Description of Event or Problem · 1

CUSTOMER CALLED TO REPORT A LEAK FROM THE BACK ON THE 10 PSI REGULATOR OF THE UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM. CUSTOMER ALSO REPORTED HEARING A HISSING SOUND FROM THE BACK OF THE REGULATOR. THE CUSTOMER TECHNICAL SPECIALIST (CTS) ASSISTED CUSTOMER WITH TROUBLESHOOTING THE INSTRUMENT BY ADVISING CUSTOMER TO PRESS THE STOP KEY, THEN HOME THE UNIT. AFTER FURTHER TROUBLESHOOTING, THE LEAK ISSUE WAS RESOLVED AND THE CTS WAS ABLE TO VERIFY WITH CUSTOMER THAT THE TROUBLESHOOTING EFFECTIVELY RESOLVED THE INSTRUMENT ISSUE. CUSTOMER STATED THAT NO ERRONEOUS PATIENT RESULTS WERE GENERATED AND THAT NO ONE WAS AFFECTED BY THE LEAK.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1