FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 2995804 · Received March 8, 2013

Report

Report Number
2050012-2013-00161
Event Type
Malfunction
Date Received
March 8, 2013
Date of Event
February 8, 2013
Report Date
February 8, 2013
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A BEC FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED FOR THIS EVENT. THE FSE CONFIRMED AN OVERFLOWING EIC AND DETERMINED THE CAUSE WAS AN OBSTRUCTION IN THE EIC WASTE PORT. THE OBSTRUCTION WAS CLEARED AND THE INSTRUMENT RESTORED TO SPECIFICATIONS. THE FAILURE MODE IS AN OBSTRUCTED EIC PORT. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER (BEC) REPORTING THAT THE UNICEL DXC 800 PRO SYNCHRON CHEMISTRY ANALYZER'S ELECTROLYTE INJECTION CUP (EIC) WAS OVERFLOWING AND NOT DRAINING. THE CUSTOMER STATED THAT FLUID LEAKED FROM THE EIC CUP AND DOWN ONTO THE LABORATORY FLOOR. THE CUSTOMER WAS WEARING PROPER PROTECTIVE EQUIPMENT (PPE), INCLUDING GLOVES, PROTECTED EYEWEAR, AND A LABORATORY COAT DURING THIS EVENT. THERE WERE NO INJURIES AND NO ONE HAD TO SEEK MEDICAL ATTENTION. NO ERRONEOUS RESULTS WERE GENERATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
100032 UNICEL® DXC 800 PRO SYNCHRON® CHEMISTRY ANALYZER ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER DXC 800 PRO NA

Patients

Seq Age Sex Outcome Treatment
1