FDA Adverse Event Injury Summary report: N

UNICEL DXH 900 COULTER CELLULAR ANALYSIS SYSTEM

MDR report key: 8730463 · Received June 25, 2019

Report

Report Number
1061932-2019-01672
Event Type
Injury
Date Received
June 25, 2019
Date of Event
May 21, 2019
Report Date
June 25, 2019
Manufacturer
BECKMAN COULTER
Product Code
GKZ
UDI-DI
15099590701574
PMA / PMN Number
K140911
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

WHILE INSTALLING THE INSTRUMENT THE FSE INJURED HIS HAND. THE FLAP BEHIND THE FLOOR STAND (COMPRESSOR SIDE) OF THE INSTRUMENT WAS JAMMED AND OPENED JERKILY. THE FSE WAS ABLE TO COMPLETE THE INSTRUMENT INSTALL PROCESS. BEC INTERNAL IDENTIFIER - (B)(4).

Description of Event or Problem · 1

IN THE PROCESS OF INSTALLING THE DXH 900 HEMATOLOGY INSTRUMENT AT THE CUSTOMER SITE, THE FIELD SERVICE ENGINEER (FSE) INJURED THE INDEX FINGER ON HIS LEFT HAND WHEN A FLAP IN THE REAR AREA OF THE INSTRUMENT OPENED JERKILY. THE FSE WAS TREATED BY A DOCTOR. THE HAND WAS X-RAYED AND THE FINGER WAS FOUND TO BE BRUISED AND FRACTURED. THE INJURY DID NOT REQUIRE STITCHES BUT THE FINGER WAS STABILIZED WITH A RAIL/SPLINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
524438 UNICEL DXH 900 COULTER CELLULAR ANALYSIS SYSTEM COUNTER, DIFFERENTIAL CELL GKZ BECKMAN COULTER TN,DXH 900 HEMATOLOGY SYSTEM WITH FLOOR STAND 15099590701574

Patients

Seq Age Sex Outcome Treatment
1 Other