FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600I SYNCHRON® ACCESS® CLINICAL SYSTEM

MDR report key: 2880680 · Received December 20, 2012

Report

Report Number
2050012-2012-01925
Event Type
Malfunction
Date Received
December 20, 2012
Date of Event
November 22, 2012
Report Date
November 22, 2012
Manufacturer
BECKMAN COULTER INC.
Product Code
JJE
PMA / PMN Number
K060256
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) VISITED THE SITE AND EVALUATED THE SYSTEM. THE FSE FOUND THE DRAIN WAS FULL. UPON FURTHER EXAMINATION, THE FSE FOUND THE DRAIN VALVE WAS OCCLUDED WITH UNSPECIFIED SOLID MATERIAL. THE FSE CLEARED THE OBSTRUCTION. THE REPAIR WAS VERIFIED BY ESTABLISHED PROCEDURES AND THE INSTRUMENT IS OPERATING WITHIN PUBLISHED SPECIFICATIONS. (B)(4).

Description of Event or Problem · 1

CUSTOMER REPORTED TO BECKMAN COULTER, INC. THAT THERE WAS A LEAK FROM THE ION-SELECTIVE ELECTRODE (ISE) AREA OF THE UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM. NO ERRONEOUS RESULTS WERE GENERATED. THE LEAK WAS CONTAINED TO THE INSTRUMENT. THE OPERATOR WAS WEARING PERSONAL PROTECTIVE EQUIPMENT AT THE TIME OF THE EVENT. THERE ARE NO REPORTS OF ANY ADVERSE EVENTS. A BECKMAN COULTER FIELD SERVICE ENGINEER WAS DISPATCHED TO THE SITE TO EVALUATE THE SYSTEM.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1