FDA Adverse Event Malfunction Summary report: N

MCS+ 9000

MDR report key: 2854514 · Received November 29, 2012

Report

Report Number
1219343-2012-00176
Event Type
Malfunction
Date Received
November 29, 2012
Date of Event
November 7, 2012
Report Date
November 7, 2012
Manufacturer
HAEMONETICS CORP.
Product Code
GKT
PMA / PMN Number
BK050047
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE PCB BOARD WAS INSPECTED. THE ODOR OF SMOKE WAS EVIDENT. A COMPONENT ON THE BOARD WAS BURNED WITH SOOT FOUND AROUND IT. THE COMPONENT WAS ALSO MELTED AND DEFORMED. A POSSIBLE ROOT CAUSE WAS TOO MUCH VOLTAGE SENT TO THE BOARD DUE TO A FAULTY CONNECTION AT THE POWER SOURCE. (B)(4).

Description of Event or Problem · 1

HAEMONETICS RECEIVED A COMPLAINT ON (B)(6) 2012, FOR A PCS2 DEVICE "WHEN MACHINE WAS TURNED ON ELECTRICAL SMELL WAS PRODUCED. DISPLAY DID COME ON. NO OPERATOR/DONOR INJURIES ASSOCIATED."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MCS+ 9000 GKT HAEMONETICS CORP.

Patients

Seq Age Sex Outcome Treatment
1