FDA Adverse Event Malfunction Summary report: N

UNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM

MDR report key: 3822286 · Received May 20, 2014

Report

Report Number
2122870-2014-00390
Event Type
Malfunction
Date Received
May 20, 2014
Date of Event
April 27, 2014
Report Date
April 27, 2014
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K023764
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE FIELD SERVICE ENGINEER (FSE) NOTED PREMATURE FAILURE OF THE REAGENT STORAGE GRIPPER SENSORS ON THE INSTRUMENT. THE FSE REPLACED THE REAGENT GRIPPER SENSORS AND RESOLVED THE SYSTEM ERRORS. IN CONCLUSION, THE LIKELY CAUSE OF THE EVENT IS ATTRIBUTED TO THE GRIPPER SENSORS. (B)(4).

Description of Event or Problem · 1

THE AFFILIATE STATED THE CUSTOMER REPORTED SYSTEM ERROR MESSAGE, REAGENT PACK GRIPPER DID NOT GRIP REAGENT PACK, INVOLVING THE UNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM. THERE WAS NO REPORT OF ERRONEOUS PATIENT RESULTS GENERATED. THERE WAS NO REPORT OF PATIENT INJURY ASSOCIATED WITH THIS EVENT. A BECKMAN COULTER FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO ASSESS THE INSTRUMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
300800 UNICEL DXI 800 ACCESS IMMUNOASSAY SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1