FDA Adverse Event Malfunction Summary report: N

NAVIOS FLOW CYTOMETER SYSTEM

MDR report key: 4094407 · Received September 16, 2014

Report

Report Number
1061932-2014-02376
Event Type
Malfunction
Date Received
September 16, 2014
Date of Event
August 19, 2014
Report Date
August 19, 2014
Manufacturer
BECKMAN COULTER
Product Code
OYE
PMA / PMN Number
K130373
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

THE FSE NOTED THAT THE LASER CURRENT WAS HIGH AT 0.65A (AMPS), BUT THE LASER POWER OUTPUT WAS LOW AT 10MW (MILLIWATTS) WHEN DIRECTLY MEASURED. THE FSE REPLACED THE LASER AND RESOLVED THE ISSUE. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT THE VOLTAGES AND GAINS NEED TO BE REPEATEDLY CHANGED TO SEE CELL POPULATIONS ON THE GALLIOS FLOW CYTOMETER. THE GALLIOS FLOW CYTOMETER IS A NOT AN IN-VITRO DIAGNOSTIC (IVD) INSTRUMENT. THIS REPORT REFERENCES THE NAVIOS FLOW CYTOMETER SYSTEM WHICH IS AN IVD INSTRUMENT AND IS SIMILAR IN DESIGN AND FUNCTION TO THE GALLIOS FLOW CYTOMETER. THERE WERE NO REPORTS OF INJURIES, ERRONEOUS RESULTS OR CHANGE IN PATIENT TREATMENT IN CONNECTION WITH THIS EVENT. GALLIOS FLOW CYTOMETER PART NUMBER A71846 WITH SERIAL NUMBER (B)(4) WAS INVOLVED IN THIS EVENT. THE GALLIOS' INSTRUMENT DATE OF MANUFACTURE IS SEPTEMBER 15, 2009. THE SOFTWARE VERSION OF THE GALLIOS IS 1.2. A BECKMAN COULTER (BEC) FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO THE CUSTOMER SITE TO EVALUATE THE INSTRUMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
573217 NAVIOS FLOW CYTOMETER SYSTEM FLOW CYTOMETRIC REAGENTS AND ACCESSORIES. OYE BECKMAN COULTER NA NA

Patients

Seq Age Sex Outcome Treatment
1