FDA Adverse Event Malfunction Summary report: N

AU5800 CLINICAL CHEMISTRY ANALYZER

MDR report key: 3831201 · Received May 23, 2014

Report

Report Number
9612296-2014-00079
Event Type
Malfunction
Date Received
May 23, 2014
Date of Event
April 30, 2014
Report Date
April 30, 2014
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K112412
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A BEC FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE INSTRUMENT. THE FSE FOUND THAT THE CUSTOMER HAD ALREADY CORRECTED THE ISSUE. THE FSE CONFIRMED THAT THERE WAS PREVIOUSLY AN OVERFLOW ON THE INSTRUMENT'S DAUGHTER TANK. THE CUSTOMER REPORTED THAT THERE WAS A BUILD-UP OF CRYSTALLIZED DETERGENT ON THE FLOAT SLIDE THAT PREVENTED THE FLOAT FROM MOVING FREELY. THE FLOAT WAS NOT ABLE TO DETECT DETERGENT VOLUME IN THE DAUGHTER TANK, THUS IT DID NOT SIGNAL TO THE INSTRUMENT TO TURN THE PUMP OFF, RESULTING IN AN OVERFLOW. THE FSE CONFIRMED THAT THE INSTRUMENT WAS OPERATING PER MANUFACTURER'S SPECIFICATIONS. THERE WERE NO FURTHER REPORTS OF LEAKS. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED AN OVERFLOW OF DETERGENT FROM THE DETERGENT TANK OF AN AU5800 CLINICAL CHEMISTRY ANALYZER. THE OPERATOR WAS WEARING PROPER PERSONAL PROTECTIVE EQUIPMENT. THERE WERE NO REPORTS OF DIRECT CONTACT WITH THE LEAK OR OF INJURY AS A RESULT OF THE LEAK. THERE WERE NO ERRONEOUS RESULTS GENERATED AS A RESULT OF THE LEAK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
308228 AU5800 CLINICAL CHEMISTRY ANALYZER ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER AU5800-10 NA

Patients

Seq Age Sex Outcome Treatment
1