FREEDOM EVO-2 100 10641100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00,01,08 report with the FDA on 2012-11-09 for FREEDOM EVO-2 100 10641100 manufactured by Tecan Schweiz Ag.

Event Text Entries

[2927732] Tecan was notified by distributor in (b)(6) of an error where the liquid handling arm on the evo 100 collided with the wash station during movement along the x axis. Operator reported a spark from the back of the liquid handling arm and instrument was shut down. There was no injury to any personnel or damage to the facility. Evo instrument was no longer operational.
Patient Sequence No: 1, Text Type: D, B5


[10267552] Tecan evaluated the liquid handling arm noting that the tantal condenser capacitor c41 overheated which resulted in smoke development and destruction of pcb boards. The assembly has been sent to supplier for further investigation. The results from that investigation will be documented in a follow up report. This appear to be an isolated event. There was no facility damage or injury to any laboratory personnel.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3003402518-2012-00001
MDR Report Key2834953
Report Source00,01,08
Date Received2012-11-09
Date of Report2012-11-08
Date of Event2012-10-14
Date Mfgr Received2012-10-14
Device Manufacturer Date2012-04-04
Date Added to Maude2013-02-20
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 ContactDR. ALEXANDER KRIEG
Manufacturer Street103 SEESTRASSE
Manufacturer CityMAENNEDORF ZUERICH 8708
Manufacturer CountrySZ
Manufacturer Postal8708
Manufacturer Phone449228560
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFREEDOM EVO-2 100
Generic NamePIPETTING STATION FOR CLINICAL USE
Product CodeJQW
Date Received2012-11-09
Returned To Mfg2012-10-31
Model NumberEVO-2 100
Catalog Number10641100
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerTECAN SCHWEIZ AG
Manufacturer AddressMAENNEDORF ZUERICH SZ


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2012-11-09

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