FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM

MDR report key: 3990277 · Received August 7, 2014

Report

Report Number
2050012-2014-00372
Event Type
Malfunction
Date Received
August 7, 2014
Date of Event
July 15, 2014
Report Date
July 15, 2014
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K060256
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A BECKMAN COULTER (BEC) FIELD SERVICE ENGINEER (FSE) EVALUATED THE INSTRUMENT AND DETERMINED THE CAP PIERCER DRAIN LINE, #118, WAS OBSTRUCTED. THE FSE FLUSHED THE LINE TO CORRECT THE PROBE OBSTRUCTION ERRORS AND THE LEAK FROM THE BLADE WASH AREA OF THE CAP PIERCER. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED TO BECKMAN COULTER (BEC) HOTLINE SUPPORT THAT THEIR UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM GENERATED "CARTRIDGE CHEMISTRY SAMPLE PROBE OBSTRUCTION" ERRORS. UPON TROUBLESHOOTING THE ERRORS WITH BEC HOTLINE SUPPORT, THE CUSTOMER STATED THEY DISCOVERED A LEAK FROM THE CAP PIERCER BLADE WASH AREA OF THE INSTRUMENT. THE CUSTOMER WORE GLOVES AND A LAB WHILE TROUBLESHOOTING. ERRONEOUS PATIENT 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
464314 UNICEL DXC 600I SYNCHRON ACCESS CLINICAL SYSTEM ANALYZER, CHEMISTRY (PHOTOMETRIC, DISCRETE), FOR CLINICAL USE JJE BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1