FDA Adverse Event Malfunction Summary report: N

SERO-FUGE 2002 CENTRIFUGE

MDR report key: 9998719 · Received April 24, 2020

Report

Report Number
1119779-2020-00073
Event Type
Malfunction
Date Received
April 24, 2020
Date of Event
April 6, 2020
Report Date
June 15, 2020
Manufacturer
BECTON, DICKINSON & CO.
Product Code
LXG
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

H.6. INVESTIGATION SUMMARY : CUSTOMER REPORTED THAT THE SEROFUGE INSTRUMENT 4890043 WOULD SPIN WHILE THE LID WAS STILL OPEN. THE CUSTOMER INDICATED THAT IF THE LID WAS OPENED DURING OPERATION, THE INSTRUMENT WOULD NOT STOP SPINNING; HOWEVER, NO ONE WAS HARMED. THE CUSTOMER ORDERED A PCB ASSEMBLY TO REPAIR THE UNIT. THIS IS A CONFIRMED FAILURE OF THE SYSTEM DUE TO A HISTORY OF THIS FAILURE OCCURRING. ASSIGNABLE CAUSES INCLUDE: DEFECTIVE PCB ASSEMBLY THAT CONTROLS LATCH RELEASE, DEFECT LATCH, OR DEFECTIVE BOARD LEVEL COMPONENT. INVESTIGATION OF MATERIAL COULD NOT OCCUR AS MATERIAL WAS NOT RETURNED. THE IMMEDIATE CORRECTION WAS FOR THE CUSTOMER TO ORDER A REPLACEMENT PCB. BD QUALITY WILL CONTINUE TO CLOSELY MONITOR TRENDS ASSOCIATED WITH THE FAILURE OF SAFETY H3 OTHER TEXT : SEE H.10.

Description of Event or Problem · 0

IT WAS REPORTED THAT A BD SERO-FUGE¿ 2002 SPEED CENTRIFUGE, SERIAL NUMBER 4890043, WAS SPINNING WITH THE LID OPEN. NO INJURIES REPORTED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: " CUSTOMER REPORTS THAT, OUT OF WARRANTY SN 4890043, UNIT WILL SPIN WITH LID OPENED AND WITHOUT PRESSING START."

Additional Manufacturer Narrative · 1

MEDICAL DEVICE EXPIRATION DATE: UNKNOWN. DEVICE MANUFACTURE DATE: UNKNOWN. A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED, BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A BD SERO-FUGE¿ 2002 SPEED CENTRIFUGE, SERIAL NUMBER (B)(4) WAS SPINNING WITH THE LID OPEN. NO INJURIES REPORTED. THE FOLLOWING INFORMATION WAS PROVIDED BY THE INITIAL REPORTER: " CUSTOMER REPORTS THAT, OUT OF WARRANTY (B)(4), UNIT WILL SPIN WITH LID OPENED AND WITHOUT PRESSING START."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
462352 SERO-FUGE 2002 CENTRIFUGE CENTRIFUGES, EQUIPMENT, AND SUPPLIES LXG BECTON, DICKINSON & CO. 4890043

Patients

Seq Age Sex Outcome Treatment
1 Other