LH750 SLIDEMAKER N/A 6605633

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2012-04-26 for LH750 SLIDEMAKER N/A 6605633 manufactured by Beckman Coulter Inc..

Event Text Entries

[2685934] The customer reported that blood was leaking from the dispense probe and collecting in the catch tray on the lh750 slidemaker. The customer stated that the volume of the leak was approximately 21 ml and was contained within the instrument. The customer was wearing personal protective equipment consisting of a lab coat, gloves and goggles and no exposure or injury was reported. Patient results were not affected and there was no change to patient treatment in connection with this event. The customer found the leak coming from the red stripe tubing through the pinch valve before the dispense probe (dp1). The customer stated that the tubing was pinched through causing blood to leak out of the pinch valve instead of passing through to dp1. The customer replaced the tubing and no further leak was observed.
Patient Sequence No: 1, Text Type: D, B5


[9822956] Evaluation: method: evaluation was done by the customer. Conclusions: issue was resolved by the customer through troubleshooting. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1061932-2012-01423
MDR Report Key2549967
Report Source05,06
Date Received2012-04-26
Date of Report2012-04-04
Date of Event2012-04-04
Date Mfgr Received2012-04-04
Device Manufacturer Date2008-07-01
Date Added to Maude2012-09-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS. DUNG NGUYEN
Manufacturer Street250 S. KRAEMER BOULEVARD
Manufacturer CityBREA CA 92821
Manufacturer CountryUS
Manufacturer Postal92821
Manufacturer Phone7149614941
Manufacturer G1BECKMAN COULTER, INC.
Manufacturer Street11800 SW 147TH AVENUE
Manufacturer CityMIAMI FL 33196
Manufacturer CountryUS
Manufacturer Postal Code33196
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLH750 SLIDEMAKER
Generic NameSPINNER, SLIDE, AUTOMATED
Product CodeGKJ
Date Received2012-04-26
Model NumberN/A
Catalog Number6605633
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER INC.
Manufacturer Address250 S. KRAEMER BLVD BREA CA 92821 US 92821


Patients

Patient NumberTreatmentOutcomeDate
10 2012-04-26

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