FDA Adverse Event
Malfunction
Summary report: N
EXPRESS 4
MDR report key: 3902445
·
Received May 6, 2014
Report
- Report Number
- 2023446-2014-00052
- Event Type
- Malfunction
- Date Received
- May 6, 2014
- Date of Event
- April 30, 2014
- Report Date
- April 30, 2014
- Manufacturer
- IRIS INTERNATIONAL
- Product Code
- JQC
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OK, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
STATSPIN CENTRIFUGE HAD 120VAC AT 24V PS IN AND 24VDS AT 24VPS OUT, BUT THERE WAS NO LIGHTS ON THE PANEL. IT WAS DETERMINED THAT POWER HARNESS AT CONTROL BOARD WAS BURNED. NO INJURIES REPORTED. NO VISIBLE FLAMES, SMOKE OR BURNING SMELL REPORTED, NOR WAS FIRE DEPT CALLED, BUT CHARRED MATERIAL PRESENT.
Description of Event or Problem · 1
CUSTOMER REPORTED TO 120VAC AT 24VPS IN AND 24VDC AT 24VPS OUT, BUT THERE WERE NO LIGHTS ON THE PANEL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 272126 | EXPRESS 4 | STATSPIN SENTRIFUGE | JQC | IRIS INTERNATIONAL |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |