FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM

MDR report key: 3031776 · Received April 2, 2013

Report

Report Number
2050012-2013-00206
Event Type
Malfunction
Date Received
April 2, 2013
Date of Event
March 5, 2013
Report Date
March 6, 2013
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER REPLACED THE SYRINGE HOWEVER A LEAK WAS STILL OBSERVED UNDER REAGENT PROBE A. A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE AND FOUND THAT THE SOLENOID VALVE WAS NOT PROVIDING ENOUGH VACUUM TO THE WASH COLLAR TO PREVENT FLUID FROM ESCAPING THROUGH THE BOTTOM PORT. THE FSE REPLACED THE VALVE WHICH RESOLVED THE ISSUE. THE CAUSE OF THE LEAK IS ATTRIBUTED TO THE SOLENOID VALVE. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER (BEC) TO REPORT A DRIPS OF FLUID UNDER THE WASH COLLAR OF REAGENT PROBE A OF A UNICEL DXC 600 PRO SYNCHRON CLINICAL SYSTEM. THE CUSTOMER WAS WEARING PERSONAL PROTECTIVE EQUIPMENT (PPE) INCLUDING A LAB COAT, GLOVES AND EYEWEAR AT THE TIME OF THE EVENT. NO INJURY OR EXPOSURE WAS REPORTED. THERE WAS NO AFFECT TO PATIENT SAMPLES OR RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
134558 UNICEL® DXC 600 PRO SYNCHRON® CLINICAL SYSTEM CLINICAL CHEMISTRY ANALYZER JJE BECKMAN COULTER DXC 600 PRO NA

Patients

Seq Age Sex Outcome Treatment
1