SYNCHRON? CX3 DELTA CLINICAL SYSTEM 467501

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2011-07-12 for SYNCHRON? CX3 DELTA CLINICAL SYSTEM 467501 manufactured by Beckman Coulter Inc..

Event Text Entries

[2136125] A customer contacted beckman coulter inc. (bec) stating that the synchron cx3 delta clinical system was generating an excessive reference drift for all electrolytes. The customer also observed that the electrolyte injection cup (eic) was not filling. No injury or operator exposure was reported for this event.
Patient Sequence No: 1, Text Type: D, B5


[9198859] Customer performed extensive troubleshooting at the direction of bec customer technical support (cts). Customer found the electrolyte reference damper was leaking onto the alkaline buffer solenoid valve. The customer also observed that the valve was corroded due to the leaking of electrolyte reference reagent. The cts suggested to the customer to replace the solenoid valve and fix the tubing from the electrolyte reference damper to prevent further leaking. The customer indicated that their biomedical department will replace the solenoid valve. Bec service was not dispatched for this event.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2050012-2011-02957
MDR Report Key2159631
Report Source06
Date Received2011-07-12
Date of Report2011-06-10
Date of Event2011-06-10
Date Mfgr Received2011-06-10
Device Manufacturer Date1999-03-05
Date Added to Maude2012-03-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS NORA ZEROUNIAN
Manufacturer Street250 S KRAEMER BLVD
Manufacturer CityBREA CA 92821
Manufacturer CountryUS
Manufacturer Postal92821
Manufacturer Phone7149613634
Manufacturer G1BECKMAN COULTER INC.
Manufacturer Street250 S KRAEMER BLVD
Manufacturer CityBREA CA 92821
Manufacturer CountryUS
Manufacturer Postal Code92821
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameSYNCHRON? CX3 DELTA CLINICAL SYSTEM
Generic NameCLINICAL CHEMISTRY ANALYZER
Product CodeJJF
Date Received2011-07-12
Model NumberCX3 DELTA
Catalog Number467501
Lot NumberNA
ID NumberSV 4.7.05.01
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER INC.
Manufacturer Address250 S KRAEMER BOULEVARD BREA CA 92821 US 92821


Patients

Patient NumberTreatmentOutcomeDate
10 2011-07-12

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