WALKAWAY 96 PLUS N/A B1018-284

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-07-23 for WALKAWAY 96 PLUS N/A B1018-284 manufactured by Beckman Coulter.

Event Text Entries

[22953313] The walkaway plus not powering up was likely due to the incorrect wiring of the originally installed power adapter. The original power adapter has been requested for return to the manufacturer for further evaluation. The electrical short was likely a result of using the power adapter from a different instrument model from the manufacturer. Review of the photo submitted revealed that the orange and blue power cables (primary line of the transformer) in the instrument were burnt. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[22953316] It was reported that the walkaway plus instrument would not power up during installation. The manufacturer field service engineer replaced the power adapter from a different instrument model from the manufacturer. When the walkaway plus instrument was powered up, smoke and burning smell was observed. An electrical short occurred damaging the cables of the instrument.
Patient Sequence No: 1, Text Type: D, B5


[30226941] The power adaptor was returned for investigation. The investigation revealed it does not match the manufacturer's drawing specification. It is possible the part was assembled and/or wired incorrectly. A new walkaway plus instrument was delivered to the customer. (b)(6).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2919016-2015-00097
MDR Report Key4937443
Date Received2015-07-23
Date of Report2015-06-25
Date of Event2015-06-25
Date Mfgr Received2015-09-23
Device Manufacturer Date2015-02-17
Date Added to Maude2015-07-23
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationSERVICE AND TESTING PERSONNEL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactNORMA RAHILL
Manufacturer Street1584 ENTERPRISE BLVD
Manufacturer CityWEST SACRAMENTO CA 95691
Manufacturer CountryUS
Manufacturer Postal95691
Manufacturer Phone9163742139
Manufacturer G1BECKMAN COULTER
Manufacturer Street2040 ENTERPRISE BLVD
Manufacturer CityWEST SACRAMENTO CA 95691
Manufacturer CountryUS
Manufacturer Postal Code95691
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameWALKAWAY 96 PLUS
Generic NameINSTRUMENT FOR AUTO READER & INTERPRETATION OF OVERNIGHT SUSCEPT. SYSTEMS
Product CodeLRG
Date Received2015-07-23
Model NumberN/A
Catalog NumberB1018-284
Lot NumberN/A
OperatorSERVICE AND TESTING PERSONNEL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER
Manufacturer Address2040 ENTERPRISE BLVD WEST SACRAMENTO CA 95691 US 95691


Patients

Patient NumberTreatmentOutcomeDate
10 2015-07-23

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