BD SERO-FUGE¿ 2001 CENTRIFUGE, 1 SPEED, 115V
Report
- Report Number
- 1119779-2018-00013
- Event Type
- Malfunction
- Date Received
- October 10, 2018
- Date of Event
- September 21, 2018
- Report Date
- January 7, 2019
- Manufacturer
- BECTON, DICKINSON & CO.
- Product Code
- LXG
- PMA / PMN Number
- EXEMPT
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
INVESTIGATION SUMMARY: A COMPLAINT OF A SERO-FUGE 2001 CENTRIFUGE (S/N 4240018, MANUFACTURED IN APRIL 2006) SPINNING WITH THE LID OPEN IS CONFIRMED. THE CUSTOMER REPORTED THAT THE UNIT WAS SPINNING SPONTANEOUSLY WHEN PLUGGED IN AND SPINNING WITH THE LID OPEN. THE UNIT WAS RECEIVED AND INVESTIGATED AND FOUND THAT THE PRINTED CIRCUIT BOARD ASSEMBLY HAD A SHORTED MOTOR TRIAC, CAUSING THE CENTRIFUGE TO SPIN WHEN PLUGGED INTO THE AC OUTLET REGARDLESS OF THE LID CONDITION (OPEN OR CLOSED). IT WAS OBSERVED THAT THIS CENTRIFUGE WAS HEAVILY USED AND HAD SIGNS OF LIQUID SPILLS WHICH COULD HAVE CONTRIBUTED TO THE MOTOR TRIAC FAILURE. THE CUSTOMER WAS SHIPPED A REPLACEMENT UNIT. NO FURTHER ACTION IS REQUIRED. BD INSTRUMENT PLANT WILL CONTINUE TO MONITOR FOR TRENDS ASSOCIATED WITH THIS DEFECT. INVESTIGATION CONCLUSION: THE COMPLAINT OF A SERO-FUGE 2001 CENTRIFUGE SPINNING WITH THE LID OPEN IS CONFIRMED. THE SERVICE HISTORY WAS REVIEWED FOR THIS INSTRUMENT AND NO ISSUES WERE IDENTIFIED. HAZARD ANALYSIS: THIS ISSUE IS LISTED AS AN S4, ¿SEVERE INJURY TO OPERATORS HAND, EXPOSURE TO BIOHAZARDS¿. ROOT CAUSE DESCRIPTION: THE CAUSE WAS A SHORTED MOTOR TRIAC. RATIONALE: THERE IS CURRENTLY A CAPA (B)(4) LOOKING AT THE RELIABILITY OF THE LATCH MECHANISM ON SERO-FUGE SERIES CENTRIFUGES.
IT WAS REPORTED THAT A BD SERO-FUGE¿ 2001 CENTRIFUGE, 1 SPEED, 115V WAS SPINNING WITH THE LID OPEN.
(B)(4). A DEVICE EVALUATION IS ANTICIPATED, BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION, A SUPPLEMENTAL REPORT WILL BE FILED. BASED ON THE PROVIDED SERIAL NUMBER, THIS DEVICE WAS THE 18TH DEVICE WITH THIS CATALOG NUMBER MANUFACTURED IN DEC. 2005.
IT WAS REPORTED THAT A BD SERO-FUGE¿ 2001 CENTRIFUGE, 1 SPEED, 115V WAS SPINNING WITH THE LID OPEN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 792947 | BD SERO-FUGE¿ 2001 CENTRIFUGE, 1 SPEED, 115V | EQUIPMENT, LABORATORY, GENERAL PURPOSE | LXG | BECTON, DICKINSON & CO. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |