NAVIOS FLOW CYTOMETER SYSTEM A52103

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,06,foreign,health profe report with the FDA on 2015-04-21 for NAVIOS FLOW CYTOMETER SYSTEM A52103 manufactured by Beckman Coulter Ireland.

Event Text Entries

[5736095] The customer reported that the violet laser on a navios flow cytometer system stopped working and the operator reported a burning smell coming from the instrument. The customer stopped using the instrument at the time of the event. There were no sparks, arcs, flames or smoke observed at the time of the event. The smell of smoke generated a "code yellow" in the facility and the fire warden tracked the smell back to the navios. The power was removed from the instrument and service was called. Erroneous patient results were not generated and there was no change or affect to patient treatment in connection with this event.
Patient Sequence No: 1, Text Type: D, B5


[13236771] A field service engineer (fse) went on site to evaluate the instrument on (b)(4) 2015. The fse found that the laser power control board had failed. The fse found that the connection from the laser power conditioner card to the violet laser controller had a pin that was displaced and an incorrect crimp of the cable on the connection to the power conditioner card. The fse attributes this as the cause of the failure of the laser power control board and the tec slave controller card. A component on the laser power control card did appear to show evidence of charring. The submitted image showed a portion of the board was burned with a melted area and charring evident. The fse repositioned and secured the pin with the correct crimp in the cable and replaced the laser power control board and the tec slave controller card. These actions resolved the problem. The unit is operational. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[43025290] An internal review revealed that the manufacturing site information submitted in the initial report in manufacturer's phone number was incorrect; the corrected information is provided in this follow-up report.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1061932-2015-00669
MDR Report Key4714688
Report Source01,05,06,FOREIGN,HEALTH PROFE
Date Received2015-04-21
Date of Report2015-03-26
Date of Event2015-03-25
Date Mfgr Received2016-04-19
Device Manufacturer Date2012-06-01
Date Added to Maude2015-05-20
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. MIRANDA HOLLAND
Manufacturer Street11800 SW 147TH AVENUE, 32-S08
Manufacturer CityMIAMI FL 331962031
Manufacturer CountryUS
Manufacturer Postal331962031
Manufacturer Phone3053802031
Manufacturer G1BECKMAN COULTER
Manufacturer Street11800 SW 147TH AVENUE
Manufacturer CityMIAMI FL 33196
Manufacturer CountryUS
Manufacturer Postal Code33196
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameNAVIOS FLOW CYTOMETER SYSTEM
Generic NameFLOW CYTOMETRIC REAGENTS AND ACCESSORIES
Product CodeOYE
Date Received2015-04-21
Model NumberNA
Catalog NumberA52103
Lot NumberNA
ID NumberSOFTWARE VERSION: 1.2
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER IRELAND
Manufacturer AddressLISMEEHAN O'CALLAGHAN'S MILLS, CO. CLARE EI


Patients

Patient NumberTreatmentOutcomeDate
10 2015-04-21

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