FDA Adverse Event Malfunction Summary report: N

UNICEL® DXC 600 SYNCHRON® SYSTEM

MDR report key: 3771915 · Received April 25, 2014

Report

Report Number
2050012-2014-00210
Event Type
Malfunction
Date Received
April 25, 2014
Date of Event
March 27, 2014
Report Date
March 27, 2014
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K042291
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER'S SITE. THE FSE EVALUATED THE INSTRUMENT AND CONFIRMED A LEAK COMING FROM REAGENT PROBE A OF THE INSTRUMENT. THE FSE PROCEEDED TO REPLACE THE REAGENT PROBE A COLLAR WASH VALVE TO RESOLVE THE LEAK. BECKMAN COULTER INTERNAL IDENTIFIER FOR THIS REPORT IS (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED OBSERVING LIQUID ON THE REACTION WHEEL COVER OF THE UNICEL DXC 600 SYNCHRON SYSTEM. THE CUSTOMER ALSO STATED THAT AMMONIA QUALITY CONTROL (QC) RESULT WAS OUTSIDE OF THE ACCEPTABLE RANGE IN THE MORNING. ERRONEOUS PATIENT RESULTS WERE NOT GENERATED AND THERE WAS NO CHANGE OR AFFECT TO PATIENT TREATMENT IN CONNECTION WITH THIS EVENT. THE OPERATOR WAS WEARING PERSONAL PROTECTIVE EQUIPMENT CONSISTING OF GLOVES AND A LABORATORY COAT AT THE TIME OF THE EVENT AND THERE WAS NO REPORT OF INJURY OR DIRECT EXPOSURE TO THE LEAK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
251745 UNICEL® DXC 600 SYNCHRON® SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1