BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    QBC CENTRIFUGE

    MDR report key: 516354 · Received January 29, 2004

    Report

    Report Number
    1119779-2004-00001
    Event Type
    Malfunction
    Date Received
    January 29, 2004
    Date of Event
    December 22, 2003
    Report Date
    January 22, 2004
    Manufacturer
    BECTON DICKINSON
    Product Code
    GKG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ID, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    BECTON DICKINSON RECEIVED CUSTOMER COMPLAINT THAT A QBC AUTOREAD CENTRIFUGE POWER PACK CAUGHT FIRE. CUSTOMER COMMENTED THAT THE FIRE WAS SMALL AND WENT OUT BY ITSELF. CUSTOMER DID NOT CONTACT FIRE DEPT. DAMAGE TO THE EQUIPMENT ONLY. NO INJURIES RESULTED FROM THE EVENT. REPORT BEING FILED BASED ON A MALFUNCTION THAT IF IT WERE TO RECUR MAY RESULT IN AN INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QBC CENTRIFUGE CENTRIFUGE GKG BECTON DICKINSON NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 *