WALKAWAY 40 PLUS N/A B1018-283

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-07-27 for WALKAWAY 40 PLUS N/A B1018-283 manufactured by Beckman Coulter.

Event Text Entries

[23002589] The minuteman ups was not returned to the manufacturer for evaluation. It was reported that the facility biomedical engineer opened the minuteman ups and observed accumulated lint which is likely the material that ignited. The specification of the temporary and the replacement ups installed by the facility biomedical engineer was not provided to the manufacturer. It was a non microscan ups and not supported by beckman coulter. A microscan minuteman ups specification was provided to the customer. The manufacturer customer technical support explained that ups with less than 2000w would not support the walkaway instrument. At the time of the event, it was reported that the customer was loading 4-panels into the walkaway. The manufacturer customer technical support (cts) recommended connecting the instrument to the emergency line however the customer declined. The customer agreed to the cts recommendation to set up the 4-panels that were currently being loaded, add oil manually and incubate offline in an external incubator at 35? C for 18 hours, dispense the reagents next day and perform manual read. No further action is required. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[23002590] It was reported that burning smell emanating from the minuteman ups was noted and then it caught fire. The fire immediately extinguished. The operator immediately powered down the computer and the walkaway instrument. There was no damage observed to the instrument. The facility biomedical engineer supplied a temporary ups to be connected only to the labpro computer and not to the walkaway instrument. The biomedical engineer opened the ups and observed accumulated lint. There was no report of injury due to this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2919016-2015-00098
MDR Report Key4943124
Date Received2015-07-27
Date of Report2015-06-28
Date of Event2015-06-28
Date Mfgr Received2015-06-28
Device Manufacturer Date2013-01-22
Date Added to Maude2015-07-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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
Event Type3
Type of Report0

Device Details

Brand NameWALKAWAY 40 PLUS
Generic NameINSTRUMENT FOR AUTO READER & INTERPRETATION OF OVERNIGHT SUSCEPT. SYSTEMS
Product CodeLRG
Date Received2015-07-27
Model NumberN/A
Catalog NumberB1018-283
Lot NumberN/A
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
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 2015-07-27

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