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 |