FDA Adverse Event Malfunction Summary report: N

UNICEL DXC 600 PRO SYNCHRON SYSTEM

MDR report key: 4171579 · Received October 14, 2014

Report

Report Number
2050012-2014-00463
Event Type
Malfunction
Date Received
October 14, 2014
Date of Event
September 22, 2014
Report Date
September 22, 2014
Manufacturer
BECKMAN COULTER
Product Code
JJE
PMA / PMN Number
K103842
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER RESOLVED THE ISSUE PRIOR TO THE BECKMAN FIELD SERVICE ENGINEER (FSE) ARRIVING TO THE CUSTOMER SITE. THE CUSTOMER RESOLVED THE LEAK BY REPLACING THE CARTRIDGE CHEMISTRY SAMPLE PROBE WASH COLLAR, NO FURTHER LEAKS WERE OBSERVED. THE FSE EVALUATED THE INSTRUMENT AND VERIFIED THE CUSTOMER REPAIRS WHEN ARRIVING ONSITE. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER REPORTED THE INSTRUMENT GENERATED CARTRIDGE CHEMISTRY (CC) SAMPLE PROBE MOTION ERRORS ON A UNICEL DXC 600 PRO SYNCHRON SYSTEM. UPON TROUBLESHOOTING, THE CUSTOMER OBSERVED A LEAK FROM THE CC SAMPLE PROBE; THE PROBE CONTINUED TO LEAK AFTER THE CUSTOMER PERFORMED A SAMPLE PROBE VERTICAL ALIGNMENT AND PRIMING OF THE INSTRUMENT. THE CUSTOMER VERIFIED THE SAMPLE PROBE TUBING WAS TIGHT, FOUND NO OBSTRUCTIONS IN THE VACUUM LINE, AND DESCRIBED THE VOLUME OF THE LEAK AS A "COUPLE OF DROPS". THE OPERATOR WAS WEARING PERSONAL PROTECTIVE EQUIPMENT AND NO INJURY OR EXPOSURE WAS REPORTED. NO ERRONEOUS RESULTS WERE GENERATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
650161 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