FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 SYNCHRON® CHEMISTRY ANALYZER

MDR report key: 3110255 · Received May 13, 2013

Report

Report Number
2050012-2013-00342
Event Type
Malfunction
Date Received
May 13, 2013
Date of Event
April 15, 2013
Report Date
April 15, 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

UPON TROUBLESHOOTING, THE CUSTOMER FOUND THAT THE REAGENT SYRINGE ASSEMBLY WAS NOT FULLY ENGAGED TO THE SYRINGE 3-WAY SHEAR VALVE. THE CUSTOMER TIGHTENED AND SECURED THE REAGENT SYRINGE AND CHECKED ALL FITTINGS. REAGENT DELIVERY SUBSYSTEM WAS PRIMED AND NO FURTHER LEAKS WERE OBSERVED. SERVICE WAS NOT DISPATCHED FOR THIS EVENT AS THE CUSTOMER CORRECTED THE ISSUE. (B)(4).

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER (BEC) REPORTING A CARTRIDGE CHEMISTRY (CC) REAGENT SYRINGE LEAK IN THE UNICEL DXC 600 SYNCHRON CHEMISTRY ANALYZER. THE INSTRUMENT ALSO GENERATED A "CC SAMPLE CUVETTE NO FLUID DETECTED" ERROR, WHICH ALERTED THE OPERATOR OF AN ISSUE. THE CUSTOMER WAS WEARING PERSONAL PROTECTIVE EQUIPMENT (PPE) CONSISTING OF GLOVES, EYE PROTECTION, AND A LABORATORY COAT WHEN THE LEAK WAS DISCOVERED AND DURING TROUBLESHOOTING. THE MATERIAL SAFETY DATA SHEET (MSDS) WAS NOT REVIEWED. THE LABORATORY'S EXPOSURE CONTROL/RISK MANAGEMENT PLANS ARE IN PLACE. THERE WAS NO BIOHAZARD EXPOSURE TO MUCOUS MEMBRANES OR OPEN WOUNDS. MEDICAL ATTENTION WAS NOT SOUGHT. NO ERRONEOUS RESULTS WERE GENERATED IN CONNECTION TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
210854 UNICEL® DXC 600 SYNCHRON® CHEMISTRY ANALYZER ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER DXC 600 NA

Patients

Seq Age Sex Outcome Treatment
1