FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600 SYNCHRON SYSTEM

MDR report key: 2367939 · Received December 12, 2011

Report

Report Number
2050012-2011-08385
Event Type
Malfunction
Date Received
December 12, 2011
Date of Event
November 20, 2011
Report Date
November 21, 2011
Manufacturer
BECKMAN COULTER, INC.
Product Code
JJE
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

ON (B)(6) 2011 CUSTOMER REPORTED THAT THE DXC 600 PRO INSTRUMENT GENERATED HYDRO ERRORS, AND HAD LEAKED THE DAY BEFORE. CUSTOMER STOPPED AND HOMED THE INSTRUMENT AND IT WAS IN STANDBY. CUSTOMER CLEANED THE SPILL WITH TOWELS. NO INJURIES WERE REPORTED AND NO ERRONEOUS PATIENT RESULTS WERE GENERATED. CUSTOMER TECHNICAL SUPPORT (CTS) ASSISTED THE CUSTOMER WITH TROUBLESHOOTING AND THE CUSTOMER FOUND SOME MOISTURE IN BETWEEN ONE CUVETTE AND THE WALL OF THE REACTION WHEEL. CTS SUSPECTED IT HAPPED WHEN THE CUSTOMER HAD HYDRO ERRORS. CUSTOMER REINSTALLED THE REACTION WHEEL AND INITIALIZED THE WHEEL. NO TEMPERATURE ERRORS WERE OBSERVED, AND CUSTOMER WASHED ALL CUVETTES. NO FURTHER LEAKING WAS OBSERVED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1