FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 SYNCHRON® CLINICAL SYSTEM

MDR report key: 2840877 · Received November 20, 2012

Report

Report Number
2050012-2012-01836
Event Type
Malfunction
Date Received
November 20, 2012
Date of Event
October 29, 2012
Report Date
October 29, 2012
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BEC FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE ON (B)(6) 2012. THE FSE INSPECTED THE INSTRUMENT AND IDENTIFIED AN IMPROPERLY SEATED HAMILTON VALVE. NO ACTIVE LEAKING WAS OBSERVED AT THAT TIME. THE FSE REMOVED AND REPLACED THE HAMILTON VALVE. FAILURE MODE OF THIS EVENT WAS LOOSE/IMPROPERLY SEATED VALVE. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BEC) AND REPORTED THAT THE REAGENT PROBES WERE LEAKING ON THEIR UNICEL DXC 600 SYNCHRON CLINICAL SYSTEM. THE LEAK WAS CONTAINED TO THE INSTRUMENT; FLUID WAS NOTED ON THE REAGENT PROBE DRIP TRAY. THE LABORATORY PERSONNEL WAS WEARING LABORATORY COATS AND GLOVES. NO INJURIES WERE SUSTAINED BY ANY LAB PERSONNEL. NO ERRONEOUS RESULTS WERE GENERATED IN CONNECTION TO THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1