FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600 PRO SYNCHRON SYSTEM

MDR report key: 3885253 · Received June 19, 2014

Report

Report Number
2050012-2014-00293
Event Type
Malfunction
Date Received
June 19, 2014
Date of Event
May 24, 2014
Report Date
May 24, 2014
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K042291
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE FIELD SERVICE ENGINEER (FSE) EVALUATED THE INSTRUMENT AND DISCOVERED A LEAK FROM THE WASH/VACUUM PROBE. THE FSE INDICATED THAT THE LEAK WAS CONTAINED WITHIN THE INSTRUMENT AND PROCEEDED TO CLEAN THE LEAK. THE FSE DETERMINED THAT THE CAUSE OF THE LEAK FROM THE WASH PROBE AND THE FAILING WATER BLANK ERRORS IS ATTRIBUTED TO THE REAGENT BEAD BEING LODGED IN THE WASH/VACUUM PROBE. THE FSE REMOVED THE REAGENT BEAD FROM THE PROBE TO RESOLVE THE ISSUES AND NO FURTHER LEAKS OR ERROR MESSAGES WERE OBSERVED. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE UNICEL DXC 600 PRO SYNCHRON SYSTEM GENERATED FAILING WATER BLANK ERRORS. CUSTOMER TECHNICAL SUPPORT (CTS) ASSISTED THE CUSTOMER WITH TROUBLESHOOTING OVER THE TELEPHONE BUT THE ISSUE WAS NOT RESOLVED AND A FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER'S SITE. THE CUSTOMER WAS WEARING PERSONAL PROTECTIVE EQUIPMENT AT THE TIME OF THE EVENT AND THERE WAS NO REPORT OF INJURY. ERRONEOUS RESULTS WERE NOT GENERATED AND THERE WAS NO CHANGE OR AFFECT TO PATIENT TREATMENT IN CONNECTION WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
361529 UNICEL DXC 600 PRO SYNCHRON SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1