BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNICEL® DXC 800 PRO SYNCHRON® CLINICAL SYSTEM

    MDR report key: 2846080 · Received November 26, 2012

    Report

    Report Number
    2050012-2012-01878
    Event Type
    Malfunction
    Date Received
    November 26, 2012
    Date of Event
    November 1, 2012
    Report Date
    November 1, 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
    MI, US
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Description of Event or Problem · 1

    A CUSTOMER REPORTED TO BECKMAN COULTER, INC. (BEC) THAT THE MODULAR CHEMISTRY OBSTRUCTION DETECTOR ON THE UNICEL DXC 800 PRO SYNCHRON CLINICAL SYSTEM WAS LEAKING. THE LEAK WAS CONTAINED WITHIN THE INSTRUMENT AND WAS IDENTIFIED AS DEIONIZED WATER. THE CUSTOMER WAS WEARING A LAB COAT AND GLOVES AT THE TIME OF THE EVENT. MSDS WAS NOT REVIEWED, BUT THE FACILITY HAS AN EXPOSURE CONTROL PLAN. THERE WAS NO REPORT OF INJURY OR EXPOSURE, AND MEDICAL ATTENTION WAS NOT SOUGHT. NO ERRONEOUS PATIENT RESULTS WERE GENERATED. SERVICE WAS DISPATCHED ON (B)(4) 2012. BEC FIELD SERVICE ENGINEER (FSE) FOUND THE OBSTRUCTION DETECTOR WAS LEAKING AND REPLACED THE MODULAR CHEMISTRY CRANE CLOT DETECTOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNICEL® DXC 800 PRO SYNCHRON® CLINICAL SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER, INC. DXC 800 PRO NA

    Patients

    Seq Age Sex Outcome Treatment
    1